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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason:
Droplet transmission involves the spread of pathogens through respiratory droplets expelled when an infected person coughs or sneezes. Staphylococcus aureus is not typically spread this way.
Choice B Reason:
This is the correct answer. Indirect contact transmission occurs when a person touches a contaminated object or surface, such as a towel, and then touches their own body, allowing the bacteria to enter through breaks in the skin or mucous membranes.
Choice C Reason:
Vector transmission involves the spread of pathogens through insects or animals, such as mosquitoes or ticks. Staphylococcus aureus is not transmitted by vectors.
Choice D Reason:
Airborne transmission involves the spread of pathogens through the air over long distances, typically via tiny droplets that remain suspended in the air. Staphylococcus aureus is not commonly spread through airborne transmission.
Correct Answer is B
Explanation
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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