A nurse is providing education to a client with a history of diabetes mellitus about the risk of developing cholecystitis. Which of the following explanations should the nurse include in the teaching?

"Diabetes increases the bile production, reducing the risk of gallstone formation."

"Diabetes leads to decreased cholesterol levels in the bile, reducing the risk of gallstone formation."

"Diabetes impairs the function of the sphincter of Oddi, increasing the risk of gallstone formation."

"Diabetes increases the motility of the gallbladder, reducing the risk of gallstone formation."

Answer and Explanation

The Correct Answer is C

Choice A reason:

Diabetes does not increase bile production. However, it can lead to changes in bile composition, increasing the risk of gallstone formation.

Choice B reason:

This statement is incorrect. Diabetes is associated with increased cholesterol levels in the bile, which can contribute to gallstone formation.

Choice C reason:

This statement is correct. Diabetes can impair the function of the sphincter of Oddi, a muscular valve that controls the flow of bile into the duodenum. Dysfunction of the sphincter can lead to bile stasis and increase the risk of gallstone formation.

Choice D reason:

Diabetes does not increase the motility of the gallbladder. Instead, it may lead to reduced gallbladder motility, which can contribute to gallstone formation due to stasis of bile.

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Correct Answer is C

Explanation

Choice A reason:

This statement is incorrect. The HIDA scan does not use magnetic resonance imaging (MRI) to visualize the gallbladder. It is a nuclear medicine test that uses a radioactive tracer.

Choice B reason:

This statement is incorrect. While the HIDA scan involves the use of a radioactive tracer, its purpose is not to evaluate liver function. Instead, it assesses the biliary system and gallbladder.

Choice C reason:

This statement is correct. The HIDA scan is a nuclear medicine test used to assess the patency of the biliary system and the emptying of the gallbladder. A radioactive tracer is injected into the client's bloodstream, and its uptake and excretion into the biliary system are monitored.

Choice D reason:

This statement is incorrect. The HIDA scan does not involve the use of an endoscope. It is a non-invasive imaging test that is performed externally, not internally.

A. Gastroenteritis B. Cholecystitis with cholangitis C. Urinary tract infection D. Gastroesophageal reflux disease (GERD)

Correct Answer is B

Explanation

Choice A reason:

Gastroenteritis typically presents with symptoms such as diarrhea, vomiting, and abdominal cramps. It does not cause jaundice or severe right upper quadrant pain.

Choice B reason:

This statement is correct. Cholecystitis with cholangitis is characterized by severe right upper quadrant abdominal pain, fever, and jaundice. Cholangitis is an inflammation of the bile ducts, often caused by gallstone migration and obstruction.

Choice C reason:

A urinary tract infection may cause symptoms such as burning urination and frequent urination but does not present with right upper quadrant abdominal pain or jaundice.

Choice D reason:

GERD is a condition characterized by acid reflux and heartburn. It does not cause severe right upper quadrant abdominal pain or jaundice.

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A nurse is providing education to a client with a history of diabetes mellitus about the risk of developing cholecystitis. Which of the following explanations should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is scheduled for a hepatobiliary iminodiacetic acid (HIDA) scan to evaluate suspected cholecystitis. Which of the following explanations should the nurse provide to the client about the purpose of this test?

Correct Answer is C

Explanation

A client presents with severe right upper quadrant abdominal pain, fever, and jaundice (yellowing of the skin and eyes). Which of the following conditions should the nurse suspect based on these clinical manifestations?

Correct Answer is B

Explanation

A nurse is caring for a client who had a cholecystostomy for cholecystitis. The client reports pain at the site of the drainage tube. Upon assessment, the nurse notes redness and swelling around the insertion site. Which of the following actions should the nurse take first?

A client is diagnosed with chronic cholecystitis and asks the nurse about the potential complications of this condition. Which of the following responses should the nurse provide?

A client diagnosed with acute cholecystitis is scheduled for a cholecystectomy. Which intervention should the nurse implement preoperatively?

A nurse is caring for a client with chronic cholecystitis who is experiencing intermittent pain and discomfort. Which of the following measures should the nurse recommend to manage pain and improve symptoms in this client?

A client is undergoing an endoscopic retrograde cholangiopancreatography (ERCP) to evaluate the biliary system for suspected cholecystitis. Which of the following explanations should the nurse provide to the client about this procedure?

A client presents to the emergency department with severe right upper quadrant abdominal pain, nausea, and vomiting. The client states the pain radiates to the right shoulder. Which of the following conditions should the nurse suspect based on these clinical manifestations?

A nurse is reviewing the diagnostic results for a client with suspected cholecystitis. Which of the following laboratory findings is commonly elevated in this condition?