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?

The gallbladder has become blocked by a tumor and is no longer working.

The gallbladder has become inflamed due to a build-up of gallstones that are blocking the common bile duct.

The gallbladder has become inflamed due to the cholesterol in the gallstones.

The gallbladder became infected by a virus and needs to be removed.

Answer and Explanation

The Correct Answer is B

Choice A Reason:

This option suggests that the gallbladder is blocked by a tumor. While tumors can cause blockages, they are not the most common cause of gallbladder inflammation requiring a cholecystectomy. Gallstones are a more frequent cause of such issues.

Choice B Reason:

This is the correct answer. Gallstones can block the common bile duct, leading to inflammation of the gallbladder, a condition known as cholecystitis. This blockage prevents bile from flowing out of the gallbladder, causing pain and potentially leading to infection.

Choice C Reason:

While cholesterol is a component of many gallstones, the inflammation of the gallbladder is typically due to the physical blockage caused by the stones rather than the cholesterol itself. The blockage leads to bile buildup and subsequent inflammation.

Choice D Reason:

Gallbladder infections caused by viruses are extremely rare. Most gallbladder infections are bacterial and occur secondary to blockages caused by gallstones.

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Correct Answer is B

Explanation

Choice A Reason:

Asking about the last physical exam is important for understanding the client’s overall health history, but it is not the most critical question for assessing the risk factors specific to Parkinson’s disease.

Choice B Reason:

This is the correct answer. Family history is a significant risk factor for Parkinson’s disease. Genetic factors can play a role in the development of the disease, and knowing if any family members have Parkinson’s can help in understanding the client’s risk and planning appropriate care.

Choice C Reason:

While occupational history can provide insights into potential environmental exposures that might contribute to Parkinson’s disease, it is not as directly relevant as family history in assessing the risk of developing the disease.

Choice D Reason:

The amount of coffee consumed daily is not directly related to the risk of developing Parkinson’s disease. Some studies suggest that caffeine might have a protective effect, but this is not a primary factor in assessing the disease.

A. Parent who has cardiovascular disease B. Client’s age C. History of sickle cell disease D. Hypertension

Correct Answer is D

Explanation

Choice A Reason: Parent who has cardiovascular disease

Having a parent with cardiovascular disease is considered a non-modifiable risk factor. This means it is related to genetic predisposition and cannot be changed or controlled by the individual. While family history is important in assessing stroke risk, it is not something that can be modified through lifestyle changes or medical interventions.

Choice B Reason: Client’s age

Age is another non-modifiable risk factor for stroke. The risk of stroke increases with age, but it is not something that can be altered. While age is an important consideration in stroke risk assessment, it is not a factor that can be modified to reduce the risk.

Choice C Reason: History of sickle cell disease

Sickle cell disease is a genetic disorder that affects the shape and function of red blood cells. It is a non-modifiable risk factor for stroke because it is inherited and cannot be changed. While managing sickle cell disease can help reduce complications, the condition itself remains a fixed risk factor.

Choice D Reason: Hypertension

Hypertension, or high blood pressure, is a significant modifiable risk factor for stroke. It can be managed and controlled through lifestyle changes such as diet, exercise, and medication. Lowering blood pressure can significantly reduce the risk of stroke, making it a key focus in stroke prevention efforts.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is newly diagnosed with Parkinson’s disease. The client states, “I have no idea why I got this.” Which of the following is the most important question the nurse should ask this client while performing the assessment?

Correct Answer is B

Explanation

A nurse is reviewing the electronic medical record of a middle-aged client who was admitted following a stroke. Which of the following findings should the nurse identify as a modifiable risk factor for stroke?

Correct Answer is D

Explanation

A nurse is caring for a client who has a new diagnosis of liver disease. Which of the following manifestations should the nurse expect?

An older adult client returned to the nursing home after a lower limb amputation. The client is scheduled for a prosthesis fitting and states, “I am too old to learn how to manage this.” Which of the following responses from the nurse is appropriate?

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A nurse is providing discharge instructions to a client who has a peptic ulcer. Which of the following information should the nurse include in the teaching?

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