Mrs. Cora Lee, a good cook, who enjoys rich food is considerably overweight. After a large meal, she developed severe sharp pain on her right upper abdomen and vomited moderate amount semidigested food.
46. Upon admission, physical examination and diagnostic examination was done. A diagnosis of biliary colic was established. Biliary colic is a result of:
A. Toxic paralysis of the smooth music fibers of the biliary tree
B. Abnormal distension of the gallbladder
C. Abnoral relaxation of the bile duct and the gallbladder
47. The normal function of the gallbladder is to:
A. Transmit liver bile to the duodenum
B. Concentrate and store bile for later use
C. Manufacture bile from the jejunum
D. Increase gallbladder peristalsis
48. The presence of bile in Ms. Lee's urine is the result of:
A. Removal of microorganisms from the bladder
B. Absorption of the bile pigment by the blood following obstruction of the bile from the jejunum
C. Absorption of bile pigments by the blood following obstruction of the bile flow to the duodenum
D. Decrease gastrointestinal secretions
49. Rationale for the infusion of dextrose solution for Ms. Cora Lee is primarily to:
A. Split up liver glycogen stores
B. Increase the renal tubules
C. Build up liver glycogen stores
D. Saturate toxins in the blood
50. Ms. Cora Lee is experiencing pruritus of the extremities. Nursing measures that would be most helpful in relieving her discomfort is:
A. Massaging the skin with isopropyl alcohol
B. Rubbing the skin with face towel
C. Bathing in weak sodium bicarbonate solution
D. Applying with liberal amount of baby's oil followed by talcum powder
