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:

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

Choice B reason:

This statement is incorrect. Obesity is associated with an increased concentration of cholesterol in the bile, which can contribute to gallstone formation.

Choice C reason:

This statement is correct. Obesity increases the concentration of cholesterol in the bile, which promotes gallstone formation. When there is an excess of cholesterol in the bile, it can crystallize and form gallstones.

Choice D reason:

Obesity does not slow down the emptying of the gallbladder. On the contrary, obesity may lead to reduced gallbladder motility, which can contribute to gallstone formation due to stasis of bile.

A. "Acute cholecystitis is a sudden onset of gallbladder inflammation, while chronic cholecystitis is a long-standing inflammation due to repeated episodes." B. "Acute cholecystitis is caused by gallbladder cancer, while chronic cholecystitis is caused by gallstones." C. "Acute cholecystitis is more common in older adults, while chronic cholecystitis is more common in young adults." D. "Acute cholecystitis is treated with lifestyle modifications, while chronic cholecystitis requires surgical removal of the gallbladder."

Correct Answer is A

Explanation

Choice A reason:

This statement is correct and explains the difference between acute and chronic cholecystitis. Acute cholecystitis is characterized by a sudden onset of inflammation, often caused by gallstones blocking the cystic duct. On the other hand, chronic cholecystitis is a long-standing inflammation resulting from repeated episodes of acute cholecystitis or chronic irritation from gallstones.

Choice B reason:

This statement is incorrect. While gallstones can be a cause of both acute and chronic cholecystitis, gallbladder cancer is not a typical cause of either condition.

Choice C reason:

This statement is incorrect. Acute cholecystitis can affect individuals of all age groups, and age is not a differentiating factor between acute and chronic cholecystitis.

Choice D reason:

This statement is incorrect. Both acute and chronic cholecystitis may require surgical intervention, depending on the severity and complications of the condition. Lifestyle modifications are often recommended to prevent gallstone formation and manage symptoms, but they are not the sole treatment for acute cholecystitis.

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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 with obesity is concerned about the risk of developing cholecystitis. Which of the following explanations should the nurse provide regarding the relationship between obesity and gallstone formation?

Correct Answer is C

Explanation

A client is diagnosed with acute cholecystitis and asks the nurse about the difference between acute and chronic cholecystitis. Which of the following responses should the nurse provide?

Correct Answer is A

Explanation

A nurse is caring for a client with acute cholecystitis. Which of the following clinical manifestations is most commonly associated with this condition?

A client with acute cholecystitis is scheduled for surgery. Which of the following interventions should the nurse implement preoperatively?

A nurse is providing education to a client diagnosed with cholecystitis. Which statement by the client indicates a need for further teaching?

A client diagnosed with cholecystitis reports experiencing severe itching (pruritus) on the skin. Which of the following explanations should the nurse provide for this symptom?

A nurse is assessing a client with suspected acute cholecystitis. Which of the following physical examination findings is a hallmark sign of this condition?

A nurse is caring for a client with cholecystitis who is experiencing severe abdominal pain. Which of the following actions should the nurse take first?

A nurse is caring for a client with suspected cholecystitis. The client complains of dark urine and pale-colored stools. Which of the following explanations should the nurse provide for these changes in bowel habits?