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 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.
Correct Answer is B
Explanation
Choice A reason:
Avoiding all dairy products is not a preventive measure for H. pylori reinfection. Dairy consumption does not play a significant role in H. pylori colonization or infection.
Choice B reason:
This statement is correct. H. pylori is primarily transmitted through the oral-oral or fecal-oral route. Practicing strict hand hygiene, especially after using the restroom and before eating, can help reduce the risk of transmission and reinfection.
Choice C reason:
Including raw vegetables in the diet is not a specific preventive measure for H. pylori reinfection. A balanced diet that promotes overall gut health may be beneficial, but raw vegetables alone do not prevent H. pylori reinfection.
Choice D reason:
Taking over-the-counter antacids regularly is not a preventive strategy for H. pylori reinfection. Antacids do not target the bacterium and are not effective in eradicating H. pylori.
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