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 C

Explanation

Choice A reason:

Deep breathing exercises do not directly prevent postoperative infection. However, they can help with postoperative lung expansion and prevent respiratory complications, indirectly reducing the risk of infection.

Choice B reason:

While deep breathing exercises can help improve respiratory function, they are not specifically targeted at strengthening abdominal muscles.

Choice C reason:

This statement is correct. Deep breathing exercises promote lung expansion and prevent atelectasis (partial lung collapse) after surgery. They help maintain adequate oxygenation and prevent respiratory complications.

Choice D reason:

Deep breathing exercises are not directly related to reducing the risk of gallstone formation. Gallstone formation is primarily influenced by factors such as diet, bile composition, and gallbladder function.

A. "Genetic factors have no influence on gallstone formation." B. "Family history increases the risk of developing gallstones by approximately 10%." C. "Genetic factors play a significant role in determining bile composition, increasing the risk of gallstone formation." D. "Family history only affects the risk of gallstones in men, not women."

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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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 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?

Correct Answer is C

Explanation

A client is concerned about the risk of developing cholecystitis due to a family history of gallstones. Which of the following explanations should the nurse provide regarding the genetic predisposition to gallstone formation?

Correct Answer is C

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?

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 client is recovering from a cholecystectomy and asks the nurse about dietary recommendations post-surgery. Which of the following responses should the nurse provide?

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 client is scheduled for a hepatobiliary iminodiacetic acid (HIDA) scan to evaluate suspected cholecystitis. Which of the following explanations should the nurse provide to the client about the purpose of this test?

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?

A nurse is caring for a client with suspected cholecystitis. The client complains of dark urine and pale-colored stools. Which of the following explanations should the nurse provide for these changes in bowel habits?