A client presents with severe right upper quadrant abdominal pain, fever, and jaundice (yellowing of the skin and eyes). Which of the following conditions should the nurse suspect based on these clinical manifestations?

Gastroenteritis

Cholecystitis with cholangitis

Urinary tract infection

Gastroesophageal reflux disease (GERD)

Answer and Explanation

The Correct Answer is B

Choice A reason:

Gastroenteritis typically presents with symptoms such as diarrhea, vomiting, and abdominal cramps. It does not cause jaundice or severe right upper quadrant pain.

Choice B reason:

This statement is correct. Cholecystitis with cholangitis is characterized by severe right upper quadrant abdominal pain, fever, and jaundice. Cholangitis is an inflammation of the bile ducts, often caused by gallstone migration and obstruction.

Choice C reason:

A urinary tract infection may cause symptoms such as burning urination and frequent urination but does not present with right upper quadrant abdominal pain or jaundice.

Choice D reason:

GERD is a condition characterized by acid reflux and heartburn. It does not cause severe right upper quadrant abdominal pain or jaundice.

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Correct Answer is D

Explanation

Choice A reason:

Encouraging the client to eat a high-fat meal the night before the surgery is not recommended. Instead, clients scheduled for surgery, especially abdominal surgery, are typically instructed to have a clear liquid diet or nothing by mouth (NPO) after midnight to prevent aspiration during anesthesia.

Choice B reason:

Administering antibiotics prophylactically before surgery is often done to prevent infection during the procedure. However, it is at the discretion of the healthcare provider based on the client's specific condition and surgical plan.

Choice C reason:

Avoiding deep breathing exercises is not recommended preoperatively. Deep breathing exercises help prevent respiratory complications after surgery and promote lung function.

Choice D reason:

This statement is correct. Instructing the client to remain NPO after midnight before the surgery is essential to prevent aspiration during anesthesia. Clients should not eat or drink anything after the specified time to ensure their stomach is empty during the surgery.

A. "You can resume your regular physical activities immediately after the surgery." B. "You should wait at least 24 hours before resuming any physical activities." C. "You can start light physical activities within a few days and gradually increase as tolerated." D. "It is best to avoid physical activities for at least four weeks after the surgery."

Correct Answer is C

Explanation

Choice A reason:

Resuming physical activities immediately after surgery may put the client at risk of complications and delayed healing. It is essential to allow sufficient time for recovery before engaging in physical activities.

Choice B reason:

Waiting only 24 hours may not provide enough time for the client to recover from the surgery and avoid potential complications.

Choice C reason:

This statement is correct. The client can start light physical activities within a few days after the surgery, as long as they are tolerated well. Gradually increasing physical activities over time is important to prevent strain and ensure a safe recovery.

Choice D reason:

Avoiding physical activities for four weeks is unnecessary and may lead to physical deconditioning. Gradual reengagement in physical activities is encouraged to support the healing process.

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A client presents with severe right upper quadrant abdominal pain, fever, and jaundice (yellowing of the skin and eyes). Which of the following conditions should the nurse suspect based on these clinical manifestations?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with acute cholecystitis is scheduled for surgery. Which of the following interventions should the nurse implement preoperatively?

Correct Answer is D

Explanation

A nurse is providing discharge instructions to a client who underwent a cholecystectomy. The client asks when they can resume their regular physical activities. Which of the following responses should the nurse provide?

Correct Answer is C

Explanation

A nurse is preparing a client for an abdominal ultrasound to evaluate suspected cholecystitis. Which of the following instructions should the nurse provide to the client before the procedure?

A client is undergoing an endoscopic retrograde cholangiopancreatography (ERCP) to evaluate the biliary system for suspected cholecystitis. Which of the following explanations should the nurse provide to the client about this procedure?

A nurse is providing education to a client diagnosed with cholecystitis. Which statement by the client indicates a need for further teaching?

A nurse is assessing a client with suspected acute cholecystitis. Which of the following physical examination findings is a hallmark sign of this condition?

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?

A nurse is caring for a client with acute cholecystitis. Which of the following clinical manifestations is most commonly associated with this condition?

A client is diagnosed with acute cholecystitis and is scheduled for a cholecystectomy. The client asks the nurse about the benefits of laparoscopic surgery compared to open surgery. Which of the following responses should the nurse provide?

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?