A nurse is caring for a client who has cholecystitis with cholelithiasis and obstruction of the common bile duct. The nurse should expect the client's urine to appear which of the following colors?

Choice A reason: This statement is not the best response for the nurse to give. The surgeon will not encourage the client to limit their fat intake after an appendectomy, as this has nothing to do with the appendix. The appendix is a small pouch attached to the beginning of the large intestine, not the small intestine where most of the fat digestion and absorption occurs.

Choice B reason: This statement is not the best response for the nurse to give. The appendix does play a role in the immune system and the gut microbiome, as it contains lymphoid tissue and beneficial bacteria. The client may notice some changes in their immunity or digestion after an appendectomy, especially if they have an infection or take antibiotics.

Choice C reason: This statement is not the best response for the nurse to give. The appendix does not affect the absorption of nutrients from the food the client eats, as it is not involved in the digestive process. The appendix is located at the end of the small intestine, where most of the nutrients have already been absorbed.

Choice D reason: This statement is the best response for the nurse to give. The appendix is not essential for survival, and the small intestine can adapt to its removal over time. The client may experience some temporary symptoms such as diarrhea, bloating, or gas after an appendectomy, but these usually resolve within a few weeks. The nurse should reassure the client that they can live a normal and healthy life without an appendix.

Choice A reason: Dark-colored stools are an adverse effect of orlistat, a medication that blocks the absorption of fat in the intestines. The unabsorbed fat can cause the stools to become oily, foul-smelling, and dark in color. This can indicate a serious condition called steatorrhea, which can lead to malnutrition and vitamin deficiencies.

Choice B reason: Constipation is not an adverse effect of orlistat. In fact, orlistat can cause the opposite problem of diarrhea, especially if the client consumes too much fat in their diet. Constipation may be caused by other factors, such as dehydration, lack of fiber, or medication side effects.

Choice C reason: Nausea is not an adverse effect of orlistat. Nausea may be a symptom of other conditions, such as gastritis, gastroenteritis, or pregnancy. Nausea may also be caused by other medications, such as antibiotics, opioids, or chemotherapy drugs.

Choice D reason: Abdominal pain is not an adverse effect of orlistat. Abdominal pain may be a sign of other conditions, such as appendicitis, gallstones, or kidney stones. Abdominal pain may also be caused by other medications, such as NSAIDs, steroids, or oral contraceptives.