A nurse is conducting a health screening at a community event. Which client is at the highest risk of developing cholelithiasis based on the risk factors?

A 25-year-old male with a family history of gallbladder disease.

A 40-year-old female who follows a low-fat diet and exercises regularly.

A 50-year-old male with a history of diabetes and hypertension.

A 60-year-old female who underwent bariatric surgery for weight loss.

Answer and Explanation

The Correct Answer is A

Choice A reason:

This statement is correct. A family history of gallbladder disease is a significant risk factor for cholelithiasis, and the 25-year-old male is at the highest risk among the options provided.

Choice B reason:

A low-fat diet and regular exercise may help reduce the risk of developing cholelithiasis, so the 40-year-old female is at a lower risk compared to the other options.

Choice C reason:

A history of diabetes and hypertension may increase the risk of certain health problems, but they are not the primary risk factors for cholelithiasis in this context.

Choice D reason:

Undergoing bariatric surgery for weight loss may affect the risk of developing gallstones, but it is not the highest risk factor among the options provided.

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Correct Answer is A

Explanation

Choice A reason:

This statement is correct. UDCA is a medication used to dissolve gallstones, and one of its potential adverse effects is diarrhea and abdominal cramping.

Choice B reason:

Dizziness and lightheadedness are not common adverse effects of UDCA.

Choice C reason:

Dry mouth and blurred vision are not typical adverse effects of UDCA.

Choice D reason:

Muscle weakness and fatigue are not common adverse effects of UDCA.

A. Signs and symptoms of gallstone formation B. Proper incision care to prevent infection C. Dietary recommendations to prevent constipation D. Potential complications of general anesthesia

Correct Answer is B

Explanation

Choice A reason:

Gallstone formation is not a concern after cholecystectomy since the gallbladder has been removed.

Choice B reason:

This statement is correct. Proper incision care is essential to prevent infection and complications at the surgical site after laparoscopic cholecystectomy.

Choice C reason:

Dietary recommendations for constipation are not directly related to laparoscopic cholecystectomy and may not address the client's concerns about complications.

Choice D reason:

While discussing potential complications of general anesthesia is essential for preoperative education, it may not be the primary concern for a client recovering from cholecystectomy.

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A nurse is conducting a health screening at a community event. Which client is at the highest risk of developing cholelithiasis based on the risk factors?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with cholelithiasis is prescribed ursodeoxycholic acid (UDCA) to dissolve gallstones. The nurse should educate the client about which potential adverse effect of this medication?

Correct Answer is A

Explanation

A client is recovering from laparoscopic cholecystectomy and is concerned about potential complications. What should the nurse include in the discharge teaching to address the client's concerns?

Correct Answer is B

Explanation

A client with suspected cholelithiasis is scheduled for an abdominal ultrasound. The client asks the nurse about the purpose of the test. Which response by the nurse is appropriate?

A client with cholelithiasis is experiencing severe pain and has a fever with chills. The nurse suspects the presence of an infection. Which action should the nurse take first?

A nurse is providing patient education to a client with a history of cholelithiasis. The client asks about dietary modifications to prevent gallstones. What is the nurse's best response?

A client has a family history of cholelithiasis and wants to know how to reduce their risk of developing gallstones. What is the nurse's best response?

A nurse is reviewing the laboratory results of a client with suspected cholelithiasis. Which lab finding would be most indicative of cholecystitis, a complication of cholelithiasis?

A nurse is assessing a client with cholelithiasis. The client complains of pain in the right upper abdomen that radiates to the right shoulder. Which term should the nurse use to describe this pain?

A nurse is caring for a client with cholelithiasis. The client reports feeling bloated and experiences excessive gas after meals. Which term should the nurse use to describe this symptom?

A client diagnosed with cholelithiasis is scheduled for a cholecystectomy. What should the nurse include in the preoperative education for the client?