A client presents to the emergency department with severe right upper quadrant abdominal pain, nausea, and vomiting. The client states the pain radiates to the right shoulder. Which of the following conditions should the nurse suspect based on these clinical manifestations?

Appendicitis

Gastroenteritis

Cholecystitis

Pancreatitis

Answer and Explanation

The Correct Answer is C

Choice A reason:

Appendicitis typically presents with pain in the lower right abdomen and may be associated with fever and rebound tenderness.

Choice B reason:

Gastroenteritis can cause abdominal pain and vomiting, but it does not usually cause pain radiating to the right shoulder.

Choice C reason:

This statement is correct. Cholecystitis is characterized by severe right upper quadrant abdominal pain that may radiate to the right shoulder, along with nausea and vomiting.

Choice D reason:

Pancreatitis may cause upper abdominal pain, but it typically radiates to the back rather than the right shoulder.

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Correct Answer is A

Explanation

Choice A reason:

This statement is correct and is an appropriate preoperative intervention. Encouraging deep breathing and coughing exercises helps prevent postoperative respiratory complications such as atelectasis and pneumonia.

Choice B reason:

This statement is incorrect and is not an appropriate preoperative intervention. Placing the client in a supine position with legs elevated can increase intraabdominal pressure and worsen cholecystitis symptoms.

Choice C reason:

This statement is incorrect and is not an appropriate preoperative intervention. The client should be on a restricted diet, avoiding fatty and heavy foods, to prevent exacerbation of cholecystitis symptoms and reduce the risk of complications during surgery.

Choice D reason:

This statement is incorrect and is not an appropriate preoperative intervention. Anticoagulants are not typically administered preoperatively for cholecystectomy. Their use may increase bleeding risk during surgery and is generally avoided unless medically indicated.

A. "Obesity increases the production of bile, reducing the risk of gallstone formation." B. "Obesity leads to decreased cholesterol levels in the bile, reducing the risk of gallstone formation." C. "Obesity increases the concentration of cholesterol in the bile, promoting gallstone formation." D. "Obesity slows down the emptying of the gallbladder, reducing the risk of gallstone formation."

Correct Answer is C

Explanation

Choice A reason:

Obesity does not increase the production of bile. However, it can lead to changes in bile composition, increasing the risk of gallstone formation.

Choice B reason:

This statement is incorrect. Obesity is associated with an increased concentration of cholesterol in the bile, which can contribute to gallstone formation.

Choice C reason:

This statement is correct. Obesity increases the concentration of cholesterol in the bile, which promotes gallstone formation. When there is an excess of cholesterol in the bile, it can crystallize and form gallstones.

Choice D reason:

Obesity does not slow down the emptying of the gallbladder. On the contrary, obesity may lead to reduced gallbladder motility, which can contribute to gallstone formation due to stasis of bile.

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A client presents to the emergency department with severe right upper quadrant abdominal pain, nausea, and vomiting. The client states the pain radiates to the right shoulder. Which of the following conditions should the nurse suspect based on these clinical manifestations?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client diagnosed with acute cholecystitis is scheduled for a cholecystectomy. Which intervention should the nurse implement preoperatively?

Correct Answer is A

Explanation

A client with obesity is concerned about the risk of developing cholecystitis. Which of the following explanations should the nurse provide regarding the relationship between obesity and gallstone formation?

Correct Answer is C

Explanation

A nurse is providing discharge instructions to a client who underwent a cholecystectomy. Which statement by the client indicates a need for further teaching?

A nurse is providing discharge instructions to a client after a cholecystectomy. Which of the following statements by the client indicates a need for further teaching?

A nurse is caring for a client with chronic cholecystitis who is experiencing intermittent pain and discomfort. Which of the following measures should the nurse recommend to manage pain and improve symptoms in this client?

A nurse is providing education to a client with a history of diabetes mellitus about the risk of developing cholecystitis. Which of the following explanations should the nurse include in the teaching?

A nurse is teaching a client with chronic cholecystitis about dietary modifications to manage the condition. Which of the following instructions should the nurse include?

A nurse is assessing a client with suspected cholecystitis. Which symptom would the nurse expect to find during the physical examination?

A client with cholecystitis is scheduled for a laparoscopic cholecystectomy. The nurse is preparing the client for surgery and explains the importance of deep breathing exercises. Which of the following benefits of deep breathing should the nurse include in the explanation?

A client is diagnosed with acute cholecystitis and asks the nurse about the difference between acute and chronic cholecystitis. Which of the following responses should the nurse provide?