A client with obesity is concerned about the risk of developing cholecystitis. Which of the following explanations should the nurse provide regarding the relationship between obesity and gallstone formation?
"Obesity increases the production of bile, reducing the risk of gallstone formation."
"Obesity leads to decreased cholesterol levels in the bile, reducing the risk of gallstone formation."
"Obesity increases the concentration of cholesterol in the bile, promoting gallstone formation."
"Obesity slows down the emptying of the gallbladder, reducing the risk of gallstone formation."
The Correct Answer is C
Choice A reason:
Obesity does not increase the production of bile. However, it can lead to changes in bile composition, increasing the risk of gallstone formation.
Choice B reason:
This statement is incorrect. Obesity is associated with an increased concentration of cholesterol in the bile, which can contribute to gallstone formation.
Choice C reason:
This statement is correct. Obesity increases the concentration of cholesterol in the bile, which promotes gallstone formation. When there is an excess of cholesterol in the bile, it can crystallize and form gallstones.
Choice D reason:
Obesity does not slow down the emptying of the gallbladder. On the contrary, obesity may lead to reduced gallbladder motility, which can contribute to gallstone formation due to stasis of bile.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
Avoiding heavy lifting is important after a cholecystectomy to prevent strain on the surgical site and reduce the risk of complications.
Choice B reason:
Reporting signs of infection or wound complications is essential for early detection and appropriate management.
Choice C reason:
This statement indicates a need for further teaching. After a cholecystectomy, the client should follow a low-fat diet for several weeks before gradually reintroducing regular foods.
Choice D reason:
Taking prescribed pain medication as needed is essential for managing postoperative discomfort and promoting recovery.
Correct Answer is A
Explanation
Choice A reason:
This statement is correct and is an appropriate preoperative intervention. Encouraging deep breathing and coughing exercises helps prevent postoperative respiratory complications such as atelectasis and pneumonia.
Choice B reason:
This statement is incorrect and is not an appropriate preoperative intervention. Placing the client in a supine position with legs elevated can increase intraabdominal pressure and worsen cholecystitis symptoms.
Choice C reason:
This statement is incorrect and is not an appropriate preoperative intervention. The client should be on a restricted diet, avoiding fatty and heavy foods, to prevent exacerbation of cholecystitis symptoms and reduce the risk of complications during surgery.
Choice D reason:
This statement is incorrect and is not an appropriate preoperative intervention. Anticoagulants are not typically administered preoperatively for cholecystectomy. Their use may increase bleeding risk during surgery and is generally avoided unless medically indicated.
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