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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
This statement is correct. Smoking and excessive alcohol intake can irritate the stomach lining and increase the risk of peptic ulcer recurrence. Avoiding these substances is important for promoting healing and preventing further damage.
Choice B reason:
Consuming a high-fat diet is not recommended for peptic ulcer prevention. High-fat foods can stimulate acid production and worsen symptoms for clients with peptic ulcers.
Choice C reason:
Engaging in strenuous exercise immediately after meals is not advisable, as it can increase the risk of acid reflux and worsen symptoms for clients with peptic ulcers.
Choice D reason:
Regular use of NSAIDs can increase the risk of developing peptic ulcers and is not a preventive strategy for clients with a history of peptic ulcer disease.
Correct Answer is C
Explanation
Choice A reason:
While Helicobacter pylori is a type of bacteria, it is not typically transmitted through food and does not directly cause peptic ulcer disease.
Choice B reason:
This statement is incorrect. Helicobacter pylori infection is indeed associated with an increased risk of peptic ulcer disease.
Choice C reason:
This statement is correct. Helicobacter pylori infection can weaken the stomach lining by producing substances that can damage the mucous layer, leading to increased vulnerability to acid and contributing to ulcer formation.
Choice D reason:
Helicobacter pylori infection is not caused by excessive consumption of spicy foods. The infection is typically acquired through person-to-person transmission, such as through contaminated water or food, and is unrelated to diet choices.
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