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    ATI N480 Advanced Med Surg proctored Exam_

    A nurse is assessing a client who has an obstruction of the common bile duct resulting from chronic cholecystitis. Which of the following findings should the nurse expect?

    Explanation & Rationale

    Choice A reason: Clear, yellow urine is not expected with bile duct obstruction, which causes bilirubin accumulation, leading to dark urine. Blocked bile flow prevents bilirubin excretion, making this choice incorrect for chronic cholecystitis complications. Choice B reason: Tenderness in the left upper abdomen is atypical, as chronic cholecystitis and bile duct obstruction cause right upper quadrant pain due to gallbladder inflammation and bile backup, making this choice incorrect. Choice C reason: Clay-colored stools result from bile duct obstruction, as bile cannot reach the intestines, reducing bilirubin in stool. This causes pale stools, a hallmark of chronic cholecystitis complications, making this the correct expected finding. Choice D reason: Fever with chills suggests acute infection, like cholangitis, but is not a primary finding in chronic cholecystitis with obstruction. Jaundice and stool changes are more consistent, making this choice less specific.

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