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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
While cholecystectomy is a common procedure, minimizing the client's fear and anxiety by downplaying the risks is not appropriate. It is essential to acknowledge the client's concerns and address them appropriately.
Choice B reason:
Avoiding thinking about the surgery may not be helpful for the client. It is essential to encourage open communication and support the client in expressing their fears and concerns.
Choice C reason:
This statement is correct. Encouraging the client to express their fears and concerns allows the nurse to address them appropriately and provide the necessary support and information to reduce anxiety.
Choice D reason:
While sharing personal experiences can sometimes be helpful, it is essential to focus on the client's feelings and needs rather than diverting attention to the nurse's experience.
Correct Answer is C
Explanation
Choice A reason:
This statement is incorrect. Genetic factors can influence bile composition and the risk of gallstone formation.
Choice B reason:
This statement is incorrect. Family history of gallstones can significantly increase the risk of developing gallstones, more than 10%.
Choice C reason:
This statement is correct. Genetic factors play a significant role in determining bile composition and gallstone formation. Certain genetic variations can increase cholesterol levels or affect the balance of bile components, predisposing individuals to gallstone formation.
Choice D reason:
Family history of gallstones can affect the risk of gallstones in both men and women. It is not limited to a specific gender.
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