Which assessment findings will the nurse anticipate in the client with cholelithiasis?

Coffee ground emesis, nausea/vomiting

Right lower quadrant abdominal pain, constipation.

Absent bowel sounds, abdominal pain

Right upper quadrant abdominal pain, nausea/vomiting

Answer and Explanation

The Correct Answer is D

Cholelithiasis refers to the presence of gallstones in the gallbladder or bile ducts. The most common symptom is right upper quadrant abdominal pain, which may be colicky or steady. Nausea and vomiting are also commonly associated with cholelithiasis.

Coffee ground emesis and constipation are not typical findings associated with cholelithiasis. Absent bowel sounds may be a sign of bowel obstruction but are not specific to cholelithiasis.

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Correct Answer is B

Explanation

Dumping syndrome is a common complication after Gastric Bypass surgery, where food moves too quickly from the stomach to the small intestine. It occurs when the undigested contents of the stomach are "dumped" rapidly into the small intestine, leading to symptoms such as nausea, vomiting, abdominal cramps, diarrhea, lightheadedness, and sweating.

To manage dumping syndrome, it is important for the client to avoid foods and beverages that are high in sugar and carbohydrates. Consuming these types of foods can trigger rapid gastric emptying and exacerbate the symptoms. Instead, the client should focus on a well-balanced diet that includes lean proteins, healthy fats, and complex carbohydrates.

A. Decreasing serum chloride levels B. Increasing serum sodium levels C. Increasing serum potassium levels D. Decreasing blood sucrose levels

Correct Answer is B

Explanation

Acute adrenal insufficiency, also known as adrenal crisis, is characterized by low levels of adrenal hormones, particularly cortisol. One of the primary manifestations of adrenal insufficiency is electrolyte imbalance, specifically hyponatremia (low sodium) and hyperkalemia (high potassium). Inadequate cortisol levels can lead to impaired sodium reabsorption in the kidneys, resulting in sodium loss and low serum sodium levels.

When the patient receives appropriate therapies for acute adrenal insufficiency, such as administration of glucocorticoids (e.g., hydrocortisone), the cortisol levels begin to normalize. As a result, the impaired sodium reabsorption improves, leading to an increase in serum sodium levels.

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Which assessment findings will the nurse anticipate in the client with cholelithiasis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In order to prevent dumping syndrome after Gastric Bypass surgery, the nurse will instruct the client to....

Correct Answer is B

Explanation

Which finding indicates to the nurse that the current therapies are effective for a patient with acute adrenal insufficiency?

Correct Answer is B

Explanation

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