Author Question: An 80-year-old client with gallbladder disease has had a cholecystectomy. Which of the following ... (Read 14 times)

newyorker26 · **on:** Jul 22, 2018

An 80-year-old client with gallbladder disease has had a cholecystectomy. Which of the following factors would increase this client's susceptibility to develop an infection?

1. Active bowel sounds
2. Dry skin
3. Intact mucous membranes
4. Susceptibility of the client

Question 2

A client was admitted to the hospital with cholelithiasis the previous day. Which of the following new assessment findings indicates to the nurse that the stone has probably obstructed the common bile duct?

1. Nausea
2. Elevated cholesterol level
3. Right upper quadrant (RUQ) pain
4. Jaundice

Brenm · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

4. Susceptibility of the client

Rationale:
How susceptible the client is to infection is one of the factors that influence microorganism growth. This client is 80 years old and has a surgical incision, so the first line of defense, the skin, is not intact. Active bowel sounds, dry skin, and intact mucous membranes are factors that help defend the body against infection.

Answer to Question 2

4. Jaundice

Rationale:
Nausea and RUQ pain occur in cystic duct disease, but obstruction of the common bile duct results in reflux of bile into the liver, which produces jaundice. Alkaline phosphatase increases with biliary obstruction, but cholesterol level does not increase.