A nurse assesses a client with cholelithiasis. Which assessment findings should the nurse identify as contributors to this client's condition? (Select all that apply.)
a. Body mass index of 46
b. Vegetarian diet
c. Drinking 4 ounces of red wine nightly
d. Pregnant with twins
e. History of metabolic syndrome
f.
Glycosylated hemoglobin level of 15%
ANS: A, D, F
Obesity, pregnancy, and diabetes are all risk factors for the development of cholelithiasis. A diet low in saturated fats and moderate alcohol intake may decrease the risk. Although metabolic syndrome is a precursor to diabetes, it is not a risk factor for cholelithiasis. The client should be informed of the connection.
You might also like to view...
The nurse is caring for an 8-year-old boy hospitalized for a bone marrow transplant. His parents are in and out of his room throughout the day
Which of the following behaviors of the child would alert the nurse that he is in the second stage of separation anxiety? A) He ignores his parents when they return to his room. B) He cries uncontrollably whenever they leave. C) He forms superficial relationships with his caregivers. D) He sits quietly and is uninterested in playing and eating.
A task force is considering factors that contribute to high-quality safe staffing. Which statement reflects an understanding of the American Nurses Association's (ANA) Safe Staffing Saves Lives recommendations?
a. Because patient needs remain constant on a daily shift, staffing needs at the beginning of the shift should be sufficient to provide safe, high-quality care. b. Staffing should allow time for the RN to apply the nursing process so decisions result in high-quality, safe patient outcomes. c. Patient acuity levels affect staffing by increasing the need for unlicensed personnel to provide routine basic care rather than increasing RNs in staff mix. d. RN staffing is not cost-effective; thus is it important for staffing models to limit the number of RNs assigned per shift.
Clients may develop hypotension following surgery under regional anesthesia because of:
a. depression of the vasomotor center of the brain. b. the loss of blood and body fluids. c. the preanesthesia anticholinergic drug given. d. cold environment in the operating room.
The nurse is providing care to a client who has experienced several episodes of angina. What is the primary outcome for this client?
1. The client will experience relief of chest pain with anticoagulant therapy. 2. The client will experience relief of chest pain with therapeutic lifestyle changes. 3. The client will experience relief of chest pain with aspirin therapy. 4. The client will experience relief of chest pain with nitrate therapy.