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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?

Serum amylase

Blood urea nitrogen (BUN)

Serum bilirubin

C-reactive protein (CRP)

Answer and Explanation

The Correct Answer is C

Choice A reason:

Serum amylase is typically elevated in pancreatitis, not cholecystitis.

Choice B reason:

Blood urea nitrogen (BUN) is a kidney function marker and is not directly related to cholecystitis.

Choice C reason:

This statement is correct. Serum bilirubin is commonly elevated in cholecystitis due to bile duct obstruction or impaired bile flow. Elevated bilirubin levels can cause jaundice (yellowing of the skin and eyes) in some cases.

Choice D reason:

C-reactive protein (CRP) is a marker of inflammation and can be elevated in various conditions, including cholecystitis. However, it is not specific to cholecystitis and may also be elevated in other inflammatory processes.

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Correct Answer is D

Explanation

Choice A reason:

This statement is correct and does not indicate a need for further teaching. Eating a low-fat diet after cholecystectomy is recommended to prevent symptoms and complications related to the digestion of fatty foods.

Choice B reason:

This statement is correct and does not indicate a need for further teaching. Avoiding heavy lifting for at least four weeks after cholecystectomy is important to allow the surgical site to heal properly and prevent strain on the incision site.

Choice C reason:

This statement is correct and does not indicate a need for further teaching. It is essential to continue taking prescribed antibiotics until they are finished to prevent infection and promote proper healing after surgery.

Choice D reason:

This statement is incorrect and indicates a need for further teaching. The client should not resume their regular exercise routine immediately after the surgery. After cholecystectomy, clients should avoid strenuous physical activities for a period specified by the healthcare provider to promote proper healing and prevent complications. The nurse should educate the client on gradually increasing their activity level and resuming exercise after receiving clearance from their healthcare provider.

A. "Diabetes increases the bile production, reducing the risk of gallstone formation." B. "Diabetes leads to decreased cholesterol levels in the bile, reducing the risk of gallstone formation." C. "Diabetes impairs the function of the sphincter of Oddi, increasing the risk of gallstone formation." D. "Diabetes increases the motility of the gallbladder, reducing the risk of gallstone formation."

Correct Answer is C

Explanation

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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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?

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Naxlex Comprehensive Predictor Exams

A nurse is providing discharge instructions to a client who underwent a cholecystectomy. Which statement by the client indicates a need for further teaching?

Correct Answer is D

Explanation

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?

Correct Answer is C

Explanation

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 teaching a client about the etiology of cholecystitis. Which of the following factors should the nurse include as a common cause of gallbladder inflammation?

A client with cholecystitis is scheduled for a laparoscopic cholecystectomy. The nurse is preparing the client for surgery and explains the importance of deep breathing exercises. Which of the following benefits of deep breathing should the nurse include in the 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 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 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?

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?

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?