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:

Fasting for 12 hours before an abdominal ultrasound is not necessary. Abdominal ultrasound does not require an empty stomach.

Choice B reason:

Drinking water is not typically restricted before an abdominal ultrasound. In fact, drinking water can improve image quality in some cases.

Choice C reason:

This statement is correct. There are no special preparations required for an abdominal ultrasound. The procedure is non-invasive and does not involve any special preparation or fasting.

Choice D reason:

Avoiding pain medications is not necessary before an abdominal ultrasound. The client can continue taking prescribed medications as usual.

A. "The HIDA scan will visualize the blood flow in your liver." B. "This scan will assess the function and patency of your bile ducts." C. "The HIDA scan will evaluate the motility of your small intestine." D. "This scan will provide detailed images of your pancreas."

Correct Answer is B

Explanation

Choice A reason:

Visualizing blood flow in the liver is not the purpose of a HIDA scan. This type of scan is primarily used to assess the biliary system.

Choice B reason:

This statement is correct. A HIDA scan is used to assess the function and patency of the bile ducts. It involves injecting a radioactive tracer that is taken up by the liver and excreted into the bile. The scan can visualize the flow of bile and detect any obstruction or abnormality in the biliary system.

Choice C reason:

Evaluating the motility of the small intestine is not the purpose of a HIDA scan. It is used specifically for assessing the biliary system.

Choice D reason:

Providing detailed images of the pancreas is not the primary purpose of a HIDA scan, although it can sometimes provide some information about the pancreas if the tracer reaches the duodenum and enters the common bile duct.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing a client for an abdominal ultrasound to evaluate suspected cholecystitis. The client asks the nurse about any special preparations needed for the procedure. Which of the following responses should the nurse provide?

Correct Answer is C

Explanation

A client with suspected cholecystitis is scheduled for a hepatobiliary iminodiacetic acid (HIDA) scan. The client asks the nurse about the purpose of this test. Which of the following responses should the nurse provide?

Correct Answer is B

Explanation

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