A nurse is caring for a client who has cholelithiasis with bile duct obstruction. The nurse should expect which of the following findings when obtaining the client's urine specimen?

Bright orange

Dark-amber

Pale yellow

Red

Answer and Explanation

The Correct Answer is B

A.   Bright orange urine could be caused by certain medications, such as rifampicin and phenazopyridine or food dyes, such as those containing carotene.
B.   This is because the obstruction of the bile duct leads to an accumulation of bilirubin in the blood, which is then excreted in the urine, giving it a darker color.
C.   Pale yellow urine is indicative of normal urine coloration and is not specific to bile duct obstruction.

D.   Red urine could indicate the presence of blood, which might suggest other conditions such as urinary tract infections or kidney stones, but not typically bile duct obstruction.

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Correct Answer is D

Explanation

A. While patients receiving chemotherapy are at risk for infections due to immunosuppression, the risk of overwhelming infection, particularly from encapsulated bacteria, is higher in post-splenectomy patients due to impaired immune function without the spleen.
B. Patients with sickle cell anemia are at increased risk of infections, particularly from encapsulated bacteria, due to functional asplenia or hyposplenism, but the risk of overwhelming infection is highest in post-splenectomy patients.
C. Patients with multiple myeloma are immunocompromised and at increased risk of infections, but they do not have the same risk of overwhelming infection as post- splenectomy patients.
D. Post-splenectomy patients are at highest risk of overwhelming infection due to impaired immune function resulting from the absence of the spleen, which plays a crucial role in immune surveillance and defense against encapsulated bacteria.

A. Coffee B. Orange juice C. Ginger ale D. Wine

Correct Answer is D

Explanation

A. Coffee is generally well tolerated unless the patient experiences discomfort or adverse effects from caffeine. It does not typically pose specific risks for patients with Hodgkin's disease.
B. Orange juice is generally safe to consume unless the patient has specific dietary restrictions or intolerances. It provides vitamin C and hydration.
C. Ginger ale is a non-caffeinated, carbonated beverage that is often used to alleviate nausea and upset stomach. It is generally safe to consume for patients with Hodgkin's disease unless there are individual sensitivities.
D. Alcohol consumption, including wine, should be avoided by patients with Hodgkin's disease, especially during treatment. Alcohol can suppress the immune system and may interact with medications or exacerbate side effects.

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A nurse is caring for a client who has cholelithiasis with bile duct obstruction. The nurse should expect which of the following findings when obtaining the client's urine specimen?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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