A nurse is assessing a client suspected to have cholecystitis. Which of the following clinical manifestations should the nurse prioritize as a hallmark symptom of this condition?

Right upper quadrant abdominal pain radiating to the right shoulder

Left lower quadrant abdominal pain with rebound tenderness

Midline epigastric pain aggravated by lying down

Diffuse abdominal pain with a low-grade fever

Answer and Explanation

The Correct Answer is A

Choice A reason:

This statement is correct. Right upper quadrant abdominal pain that radiates to the right shoulder is a hallmark symptom of cholecystitis. The pain is typically sudden, severe, and constant, and it is often triggered by a fatty meal.

Choice B reason:

Left lower quadrant abdominal pain with rebound tenderness is not characteristic of cholecystitis. It may indicate other conditions, such as diverticulitis or appendicitis.

Choice C reason:

Midline epigastric pain aggravated by lying down is more indicative of gastroesophageal reflux disease (GERD) rather than cholecystitis.

Choice D reason:

Diffuse abdominal pain with a low-grade fever may be seen in various conditions, but it does not specifically point to cholecystitis.

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Correct Answer is B

Explanation

Choice A reason:

Avoiding all dairy products is not a preventive measure for H. pylori reinfection. Dairy consumption does not play a significant role in H. pylori colonization or infection.

Choice B reason:

This statement is correct. H. pylori is primarily transmitted through the oral-oral or fecal-oral route. Practicing strict hand hygiene, especially after using the restroom and before eating, can help reduce the risk of transmission and reinfection.

Choice C reason:

Including raw vegetables in the diet is not a specific preventive measure for H. pylori reinfection. A balanced diet that promotes overall gut health may be beneficial, but raw vegetables alone do not prevent H. pylori reinfection.

Choice D reason:

Taking over-the-counter antacids regularly is not a preventive strategy for H. pylori reinfection. Antacids do not target the bacterium and are not effective in eradicating H. pylori.

A. "The endoscopy will examine your esophagus and stomach for any abnormalities." B. "This procedure will assess the blood flow to your intestines and colon." C. "The endoscopy will evaluate your kidney function and urinary system." D. "This procedure will help diagnose conditions in your lower digestive tract."

Correct Answer is A

Explanation

Choice A reason:

This statement is correct. An upper gastrointestinal endoscopy is a diagnostic procedure that uses a flexible tube with a camera (endoscope) to visualize the esophagus, stomach, and duodenum. It helps identify abnormalities, such as peptic ulcers, inflammation, or tumors.

Choice B reason:

Assessing blood flow to the intestines and colon is not the purpose of an upper gastrointestinal endoscopy. This procedure focuses on the upper digestive tract.

Choice C reason:

Evaluating kidney function and the urinary system is unrelated to an upper gastrointestinal endoscopy, which focuses on the upper digestive tract.

Choice D reason:

Diagnosing conditions in the lower digestive tract is not the purpose of an upper gastrointestinal endoscopy. Lower digestive tract evaluations are typically done using colonoscopy or sigmoidoscopy.

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A nurse is assessing a client suspected to have cholecystitis. Which of the following clinical manifestations should the nurse prioritize as a hallmark symptom of this condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who recently underwent Helicobacter pylori eradication therapy for peptic ulcer disease. Which of the following instructions should the nurse provide to the client to prevent H. pylori reinfection?

Correct Answer is B

Explanation

A client with peptic ulcer disease is scheduled for an upper gastrointestinal endoscopy. The client asks the nurse about the purpose of the procedure. Which of the following responses should the nurse provide?

Correct Answer is A

Explanation

A client with peptic ulcer disease asks the nurse about the role of Helicobacter pylori in the development of the condition. Which of the following responses should the nurse provide?

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A nurse is caring for a client diagnosed with acute cholecystitis. Which of the following symptoms should the nurse prioritize as a potential sign of a severe complication?

A nurse is assessing a client suspected of having acute cholecystitis. Which of the following techniques should the nurse use to elicit Boas' sign?

A nurse is caring for a client with peptic ulcer disease who is experiencing severe abdominal pain. The healthcare provider orders antacids for pain relief. The nurse should administer the antacids at which of the following times?

A nurse is assessing a client suspected to have cholecystitis. Which of the following clinical manifestations should the nurse prioritize as a hallmark symptom of this condition?

A nurse is providing dietary instructions to a client with peptic ulcer disease. Which of the following dietary modifications should the nurse recommend to promote ulcer healing?

A nurse is caring for a client who has undergone surgery for a peptic ulcer perforation. The client asks the nurse about the expected recovery time. Which of the following responses should the nurse provide?