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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
Choice A reason:
Avoiding heavy lifting is important after a cholecystectomy to prevent strain on the surgical site and reduce the risk of complications.
Choice B reason:
Reporting signs of infection or wound complications is essential for early detection and appropriate management.
Choice C reason:
This statement indicates a need for further teaching. After a cholecystectomy, the client should follow a low-fat diet for several weeks before gradually reintroducing regular foods.
Choice D reason:
Taking prescribed pain medication as needed is essential for managing postoperative discomfort and promoting recovery.
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