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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
Fasting for 24 hours is not necessary for an abdominal ultrasound for cholelithiasis evaluation.
Choice B reason:
Avoiding drinking water for 6 hours before the test is not required for an abdominal ultrasound.
Choice C reason:
This statement is correct. Clients undergoing an abdominal ultrasound for suspected cholelithiasis may be asked to eat a low-fat meal before the test to stimulate gallbladder contraction and enhance visualization of the gallbladder and bile ducts.
Choice D reason:
While there may be no specific dietary restrictions, eating a low-fat meal is often recommended to facilitate the evaluation of cholelithiasis during the ultrasound.
Correct Answer is C
Explanation
Choice A reason:
Offering antacid medication may provide relief for indigestion, but it will not address the severe pain and other symptoms associated with cholelithiasis.
Choice B reason:
Placing the client in a supine position may not be the most comfortable position for someone experiencing severe pain from cholelithiasis. The client may prefer to find a position that eases the pain.
Choice C reason:
This statement is correct. Administering prescribed pain medication should be the first action to address the client's severe pain and discomfort related to cholelithiasis.
Choice D reason:
Encouraging the client to rest is important, but it is not the priority action in managing the client's severe pain and other symptoms.
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