The nurse is caring for a patient who underwent a cholecystectomy 3 days ago. Which assessment finding best indicates to the nurse that the bile flow is no longer obstructed from entering the bowel?

Excessive flatus

Dark brown stool

Dark urine

Increased appetite

Answer and Explanation

The Correct Answer is B

A. Excessive flatus can occur for many reasons postoperatively but is not a reliable indicator of bile flow restoration.

B. Dark brown stool indicates that bile is entering the intestines and breaking down bilirubin, giving stool its characteristic color. This is a strong sign that bile flow is no longer obstructed.

C. Dark urine suggests that bilirubin is being excreted through the kidneys due to impaired bile flow, not improved flow.

D. Increased appetite is a general sign of recovery but does not specifically reflect restoration of bile flow.

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Correct Answer is ["B","C","D","E","F"]

Explanation

A. Age alone is not a risk factor for hepatitis C, though older adults may have higher rates due to past exposure, it’s not a direct means of transmission.

B. Health care workers are at risk due to potential needlestick injuries and blood exposure.

C. Clients receiving long-term hemodialysis may have increased risk due to repeated vascular access and potential blood contamination.

D. IV drug use is a major risk factor for hepatitis C due to needle sharing and blood exposure.

E. Blood transfusions before 1992 pose a risk because routine screening for hepatitis C was not implemented until that year.

F. Incarcerated individuals are at higher risk due to potential exposure to unsterile tattooing, shared drug equipment, and lack of proper health care.

A. "I will avoid large crowds and people who are sick." B. "I will take this medication with my breakfast each morning." C. "Nausea and vomiting are common side effects of this drug." D. "I should wash my hands after I play with my dog."

Correct Answer is B

Explanation

A. Avoiding large crowds and sick individuals is appropriate because adalimumab is an immunosuppressant, increasing infection risk.
B. Adalimumab is given as a subcutaneous injection, not an oral medication, so taking it with breakfast is incorrect and indicates a misunderstanding.
C. Nausea and vomiting can occur as side effects of adalimumab, though they are not the most common.
D. Practicing good hand hygiene, especially after contact with animals, helps reduce the risk of infection and is recommended while on immunosuppressive therapy.

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The nurse is caring for a patient who underwent a cholecystectomy 3 days ago. Which assessment finding best indicates to the nurse that the bile flow is no longer obstructed from entering the bowel?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a client with hepatitis C. The client asks the nurse how it was possible to have this disease. What questions might the nurse ask to help the client determine how the disease was contracted? (Select all that apply.)

Correct Answer is ["B","C","D","E","F"]

Explanation

After teaching a client who is prescribed adalimumab for severe ulcerative colitis (UC), the nurse assesses the client's understanding. Which statement made by the client indicates a need for further teaching?

Correct Answer is B

Explanation

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