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RNSG 1247 - Exam 2|Advanced Gallbladder and Biliary Disorders Nursing Examination: Bile Production, Hepatic Bile Secretion, Gallbladder Storage Physiology, Fat Emulsification Digestion, Fat-Soluble Vitamin Absorption, Cholesterol Gallstone Formation, Acut

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RNSG 1247 - Exam 2|Advanced Gallbladder and Biliary Disorders Nursing Examination: Bile Production, Hepatic Bile Secretion, Gallbladder Storage Physiology, Fat Emulsification Digestion, Fat-Soluble Vitamin Absorption, Cholesterol Gallstone Formation, Acute Cholecystitis Inflammatory Pathophysiology, Cholelithiasis Biliary Calculi Disease, Cystic Duct Obstruction, Biliary Colic Pain Syndrome, Right Upper Quadrant Tenderness, Referred Shoulder Scapular Pain, Nausea Vomiting Diaphoresis Response, Jaundice Hyperbilirubinemia Manifestations, Steatorrhea Fat Malabsorption, Clay Colored Stool Indicator, Dark Amber Urine Sign, Pruritus From Bile Salt Accumulation, Leukocytosis Inflammatory Marker, Liver Enzyme Elevation AST ALT, Diagnostic Abdominal Ultrasound Imaging, Endoscopic Retrograde Cholangiopancreatography Procedure, Magnetic Resonance Cholangiopancreatography Imaging, Laparoscopic Cholecystectomy Surgical Management, Open Cholecystectomy Subcostal Incision, T Tube Biliary Drainage Management Exam Questions Verified and Provided with Complete A+ Graded Rationales Latest Updated 2026 Where is bile produced? What is the function of bile? bile is produced in the liver, stored in the gallbladder, and released into the small intestine to aid in the digestion and absorption of fats, as well as the excretion of waste products. Its emulsifying properties are essential for breaking down fats into smaller particles, facilitating their absorption by the body. What is the difference between Cholecystitis and Cholelithiasis? cholecystitis refers to inflammation of the gallbladder, often associated with gallstones, while cholelithiasis specifically refers to the presence of gallstones within the gallbladder or bile ducts. Cholecystitis can be a complication of cholelithiasis, but not all cases of cholelithiasis lead to cholecystitis. what color is bile & how much bile can the gallbladder store? it is green 45 mL Pathophysiology of Acute Cholecystitis Usually due to obstruction of cystic duct . blocks outflow of bile back up in the GB ischemia and inflammation of the GB Can lead to gangrene and rupture of the GB what are gallstones primarily composed of? cholesterol Cholecystitis: Symptoms §Indigestion §RUQ pain and tenderness §Pain can be moderate to severe §May have abdominal rigidity §Pain may radiate to right shoulder and scapula §Pain may be accompanied by §N/V §Restlessness §Diaphoresis §Inflammation s/s: ↑ WBC, fever & chills may have jaundice Pathophysiology of Cholelithiasis Many have no symptoms silent cholelithiasis Symptoms occur when a stone moves through or blocks the cystic or common bile duct. biliary colic Cholelithiasis: Risk Factors §More common in women §especially multiparous and over age 40 §Estrogen replacement §Sedentary lifestyle §Obesity §Family history 4 F's + 1F = *female, *forty, *fat, *fertile + *family hx Clinical Manifestations of Cholelithiasis §Sudden severe RUQ pain biliary colic §Can b

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RNSG 1247 - Exam 2|Advanced Gallbladder and Biliary Disorders Nursing
Examination: Bile Production, Hepatic Bile Secretion, Gallbladder Storage
Physiology, Fat Emulsification Digestion, Fat-Soluble Vitamin Absorption,
Cholesterol Gallstone Formation, Acute Cholecystitis Inflammatory
Pathophysiology, Cholelithiasis Biliary Calculi Disease, Cystic Duct Obstruction,
Biliary Colic Pain Syndrome, Right Upper Quadrant Tenderness, Referred
Shoulder Scapular Pain, Nausea Vomiting Diaphoresis Response, Jaundice
Hyperbilirubinemia Manifestations, Steatorrhea Fat Malabsorption, Clay
Colored Stool Indicator, Dark Amber Urine Sign, Pruritus From Bile Salt
Accumulation, Leukocytosis Inflammatory Marker, Liver Enzyme Elevation AST
ALT, Diagnostic Abdominal Ultrasound Imaging, Endoscopic Retrograde
Cholangiopancreatography Procedure, Magnetic Resonance
Cholangiopancreatography Imaging, Laparoscopic Cholecystectomy Surgical
Management, Open Cholecystectomy Subcostal Incision, T Tube Biliary Drainage
Management Exam Questions Verified and Provided with Complete A+ Graded
Rationales Latest Updated 2026



Where is bile produced?



What is the function of bile?



bile is produced in the liver, stored in the gallbladder, and released into the small intestine to aid in the
digestion and absorption of fats, as well as the excretion of waste products. Its emulsifying properties
are essential for breaking down fats into smaller particles, facilitating their absorption by the body.




What is the difference between Cholecystitis and Cholelithiasis?

cholecystitis refers to inflammation of the gallbladder, often associated with gallstones, while
cholelithiasis specifically refers to the presence of gallstones within the gallbladder or bile ducts.
Cholecystitis can be a complication of cholelithiasis, but not all cases of cholelithiasis lead to
cholecystitis.

,what color is bile & how much bile can the gallbladder store?

it is green

45 mL




Pathophysiology of Acute Cholecystitis



Usually due to obstruction of cystic duct .

blocks outflow of bile

back up in the GB

ischemia and inflammation of the GB

Can lead to gangrene and rupture of the GB




what are gallstones primarily composed of?

cholesterol




Cholecystitis: Symptoms



§Indigestion



§RUQ pain and tenderness



§Pain can be moderate to severe



§May have abdominal rigidity



§Pain may radiate to right shoulder and scapula

, §Pain may be accompanied by



§N/V



§Restlessness



§Diaphoresis



§Inflammation s/s: ↑ WBC, fever & chills



may have jaundice




Pathophysiology of Cholelithiasis

Many have no symptoms

silent cholelithiasis

Symptoms occur when a stone moves through or blocks the cystic or common bile duct.

biliary colic




Cholelithiasis: Risk Factors



§More common in women



§especially multiparous and over age 40



§Estrogen replacement

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