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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
CT scans use X-rays, not magnetic fields, to create detailed cross-sectional images of the body. They involve radiation exposure.
Choice B reason:
This statement is correct. While CT scans use X-rays, the amount of radiation used in modern CT machines is relatively low and considered safe. The benefits of the diagnostic information obtained from the scan usually outweigh the risks associated with the small amount of radiation exposure.
Choice C reason:
The speed of the scan does not impact the radiation exposure. The amount of radiation used in a CT scan remains the same regardless of the scan duration.
Choice D reason:
CT scans use X-rays, not sound waves. Sound waves are used in ultrasound imaging, not in CT scans.
Correct Answer is A
Explanation
Choice A reason:
Frequent consumption of spicy foods or citrus fruits can irritate the stomach lining and increase the risk of peptic ulcer development.
Choice B reason:
Family history of lung diseases is not directly related to the risk of peptic ulcer disease. However, family history of peptic ulcers or gastrointestinal conditions is relevant for risk assessment.
Choice C reason:
Experiencing frequent headaches is not a direct risk factor for peptic ulcer disease. However, the nurse should assess for other risk factors and medical history during the health screening.
Choice D reason:
Regular physical exercise is important for overall health, but it is not a direct risk factor for peptic ulcer disease. The nurse should focus on risk factors related to diet, medication use, and other medical conditions.
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