A patient with cholelithiasis asks the nurse why he/she is jaundiced. What is the nurse's best answer?
“Your liver cannot manufacture bile."
"Your pancreas is no longer able to manufacture insulin."
"Your gall bladder is not contracting properly."
"A gallstone can prevent bile from flowing into the Intestines."
The Correct Answer is D
A. "Your liver cannot manufacture bile": The liver can still manufacture bile, but the problem lies in bile flow, not production.
B. "Your pancreas is no longer able to manufacture insulin": This statement refers to diabetes, not cholelithiasis.
C. "Your gall bladder is not contracting properly": While gallbladder dysfunction can cause pain, jaundice specifically occurs due to bile flow obstruction, not just poor contraction.
D. "A gallstone can prevent bile from flowing into the intestines": Gallstones can obstruct the bile ducts, leading to a buildup of bilirubin in the blood, which manifests as jaundice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. ST segment elevation: ST segment elevation is a classic sign of myocardial injury, indicating that a portion of the heart muscle is not receiving enough oxygen and is actively injured.
B. Q wave: A Q wave typically appears later, representing a previous myocardial infarction (necrosis), not acute injury.
C. Inverted T wave: This indicates myocardial ischemia, which is a precursor to injury but not indicative of injury itself.
D. ST segment depression: This is typically associated with ischemia or subendocardial infarction, not full-thickness myocardial injury.
Correct Answer is ["B","C","D"]
Explanation
A. Instruct the patient to lie on the Left side: The patient should lie on their right side (the biopsy side) to apply pressure and prevent bleeding.
B. Assess the patient's vital signs: Monitoring vital signs is crucial to detect signs of bleeding, hypovolemia, or shock.
C. Assess the dressing over the puncture site: Checking for bleeding or hematoma formation at the puncture site is important to detect complications.
D. Assess for signs/symptoms of a pneumothorax: A pneumothorax is a possible complication of liver biopsy, especially if the biopsy needle punctures the lung.
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