A client with suspected cholecystitis presents with jaundice and dark-colored urine. Which of the following clinical manifestations should the nurse associate with these findings?

Elevated white blood cell count

Impaired blood clotting

Increased bilirubin levels

Elevated serum amylase

Answer and Explanation

The Correct Answer is C

Choice A reason:

Elevated white blood cell count may indicate inflammation or infection, but it is not directly related to jaundice and dark-colored urine, which are characteristic of increased bilirubin levels.

Choice B reason:

Impaired blood clotting is not directly related to jaundice and dark-colored urine. It may be a concern in liver disease but does not explain the specific manifestations mentioned in the question.

Choice C reason:

This statement is correct. Jaundice and dark-colored urine are indicative of increased bilirubin levels in the blood, which can occur in cholecystitis due to obstruction of the bile ducts.

Choice D reason:

Elevated serum amylase is more associated with pancreatitis rather than cholecystitis. It is not directly related to the clinical manifestations described.

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Correct Answer is C

Explanation

Choice A reason:

Hypertension and increased heart rate are not early signs of gastrointestinal bleeding. In fact, hypotension and tachycardia are more common signs of significant blood loss.

Choice B reason:

Abdominal distention and bloating are not typical early signs of gastrointestinal bleeding. These symptoms may occur due to other gastrointestinal issues but are not specific to bleeding.

Choice C reason:

This statement is correct. Melena, or black, tarry stools, is a classic sign of upper gastrointestinal bleeding and indicates the presence of partially digested blood in the stool.

Choice D reason:

Hyperactive bowel sounds are not early signs of gastrointestinal bleeding. Bowel sounds may be hyperactive or hypoactive depending on the severity of the bleeding and associated factors.

A. "The CT scan uses a magnetic field, so there is no radiation exposure." B. "The amount of radiation used in a CT scan is very low and safe." C. "There is no need to worry about radiation as the scan is done quickly." D. "CT scans do not use radiation; they use sound waves for imaging."

Correct Answer is B

Explanation

Choice A reason:

CT scans use X-rays, not magnetic fields, to create detailed cross-sectional images of the body. They involve radiation exposure.

Choice B reason:

This statement is correct. While CT scans use X-rays, the amount of radiation used in modern CT machines is relatively low and considered safe. The benefits of the diagnostic information obtained from the scan usually outweigh the risks associated with the small amount of radiation exposure.

Choice C reason:

The speed of the scan does not impact the radiation exposure. The amount of radiation used in a CT scan remains the same regardless of the scan duration.

Choice D reason:

CT scans use X-rays, not sound waves. Sound waves are used in ultrasound imaging, not in CT scans.

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A client with suspected cholecystitis presents with jaundice and dark-colored urine. Which of the following clinical manifestations should the nurse associate with these findings?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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