A nurse is caring for a client who reports consuming heavy amounts of alcohol. Which of the following manifestations should the nurse expect?

Glaucoma

Fatty liver disease

Asbestosis

Gallstones

Answer and Explanation

The Correct Answer is B

A. Glaucoma: While alcohol use can affect overall health, it is not directly linked to the development of glaucoma, a condition related to intraocular pressure.

B. Fatty liver disease: Heavy alcohol consumption is a common cause of fatty liver disease, which can progress to more severe liver conditions, including cirrhosis. This is the most likely manifestation for a client with excessive alcohol use.

C. Asbestosis: Asbestosis is caused by inhaling asbestos fibers, not related to alcohol consumption. It is seen in people exposed to asbestos.

D. Gallstones: While alcohol use can indirectly affect gallbladder function, it is not a direct cause of gallstones. The most common causes are obesity, high-fat diets, and other metabolic factors.

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Correct Answer is A

Explanation

A. Insomnia: Levothyroxine overdose can cause symptoms of hyperthyroidism, such as insomnia, restlessness, and anxiety, due to excessive thyroid hormone levels stimulating the nervous system.

B. Constipation: Constipation is more commonly associated with hypothyroidism, not an overdose of levothyroxine, which typically causes symptoms of hyperthyroidism.

C. Hypoactive deep-tendon reflexes: Hypoactive reflexes are generally a sign of hypothyroidism, not a levothyroxine overdose. In hyperthyroidism (or overdose), reflexes may be more brisk.

D. Drowsiness: Drowsiness is typically seen in hypothyroidism, while levothyroxine overdose can cause symptoms of hyperthyroidism such as insomnia and increased energy.

A. The gallbladder has become inflamed due to a build-up of gallstones that are blocking the common bile duct. B. The gallbladder became infected by a virus and needs to be removed. C. The gallbladder is no longer working. D. The gallbladder has become inflamed due to the cholesterol in the gallstones.

Correct Answer is A

Explanation

A. The gallbladder has become inflamed due to a build-up of gallstones that are blocking the common bile duct: Gallstones can form when bile becomes too concentrated, leading to inflammation and blockage of the common bile duct. This blockage causes pain and potential infection.

B. The gallbladder became infected by a virus and needs to be removed: While infections can occur in the gallbladder (e.g., cholecystitis), they are typically due to bacterial infections, not viral ones. The primary issue in this case is the presence of gallstones causing inflammation.

C. The gallbladder is no longer working: The gallbladder may still function to some extent, but the presence of gallstones can disrupt its ability to properly release bile, leading to symptoms that require surgical intervention.

D. The gallbladder has become inflamed due to the cholesterol in the gallstones: While cholesterol can be a component of gallstones, gallstones can also contain other substances like bile pigments. The focus should be on the stones blocking bile flow and causing inflammation.

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A nurse is caring for a client who reports consuming heavy amounts of alcohol. Which of the following manifestations should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is taking levothyroxine. The nurse should recognize that which of the following findings is a manifestation of levothyroxine overdose?

Correct Answer is A

Explanation

A nurse is providing education to a client who needs a cholecystectomy due to a build-up of calculi or gallstones. Which of the following is the best response from the nurse to explain what caused this problem?

Correct Answer is A

Explanation

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