Practice Question
A nurse is reinforcing teaching with a client who needs to have a cholecystectomy due to gallstones. Which of the following is the best response from the nurse to explain what caused this problem?
Answer Choices:
Correct Answer:
The gallbladder has become inflamed due to a build-up of gallstones that are blocking the common bile duct.
Rationale:
◾ Cholelithiasis (gallstones) can block the cystic or common bile duct, causing inflammation known as cholecystitis.
◾ This obstruction leads to pain, nausea, and often requires surgical removal of the gallbladder.
◾ Explaining this mechanism helps the patient understand the rationale for surgery.
◾ Chronic obstruction can lead to infection, gangrene, or perforation if not addressed.
◾ This option best describes the actual pathophysiological cause requiring cholecystectomy.
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This question is from ATI LPN Medsurg Exam VI which contains 46 questions.
More Questions from This Exam
A nurse is gathering medical history from a client admitted for pyelonephritis. Which of the following should the nurse expect the client to report when asked about their medical history?
Answer Choices:
A. The client states that they consume a high calcium diet and have had high calcium in their blood.
B. The client reports that they had two urinary tract infections (UTI) in the past months
C. The client states that they remember their mother saying their grandma had this same genetic disease.
D. The client reports that they took a lot of ibuprofen for arthritis for many years.
A patient who underwent gastric surgery is being educated on preventing dumping syndrome. Which of the following dietary recommendations should the nurse include in the teaching?
Answer Choices:
A. Consume small frequent meals throughout the day.
B. Lie down immediately after eating to aid digestion.
C. Include high-carbohydrate foods in every meal.
D. Drink fluids with meals to aid in digestion.
A nurse is developing a care plan for a patient with hearing loss. Which of the following interventions is most appropriate to promote effective communication with the patient?
Answer Choices:
A. Use written communication or visual aids to supplement verbal instructions.
B. Speak loudly and directly into the patient's ear
C. Turn off all background noise and speak to the patient from behind.
D. Assume the patient can read lips and avoid using sign language or gestures.
A 45-year-old male patient complaints of chronic stomach pain and is diagnosed with a Helicobacter pylori infection. The physician decided to initiate triple therapy. Which combination of medications is most appropriate for this treatment?
Answer Choices:
A. Ciprofloxacin, Metronidazole and Ranitidine
B. Amoxicillin, Clarithromycin and Omeprazole
C. Metronidazole, Tetracycline and Bismuth subsalicylate
D. Erythromycin, Amoxicillin and Famotidine
A nurse is caring for a client who reports to the clinic for laboratory tests. The client has an acute injury caused by acute tubular necrosis and asks why their glomerular filtration rate keeps decreasing. Which of the following pathophysiological changes occurring in the kidney should the nurse explain as the cause of decrease?
Answer Choices:
A. The glomerular filtration rate decreases because there is a reduction of blood flow to the kidneys.
B. The glomerular filtration rate decreases because there is injury to the renal tubular cells.
C. The glomerular filtration rate decreases because inflammatory dells invade the already damaged kidneys.
D. The glomerular filtration rate decreases because there is obstruction leading to the filtration system backing up and eventually shutting the kidneys down.
Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Medical-Surgical
- Answer Choices: 4
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