A nurse is assessing a client with suspected cholecystitis. Which symptom would the nurse expect to find during the physical examination?

Hyperactive bowel sounds.

Severe left upper quadrant pain.

Right upper quadrant tenderness.

Pain radiating to the left shoulder.

Answer and Explanation

The Correct Answer is C

Choice A reason:

This statement is incorrect. Hyperactive bowel sounds are not typically associated with cholecystitis and may be seen in conditions such as gastroenteritis or irritable bowel syndrome.

Choice B reason:

This statement is incorrect. Severe left upper quadrant pain is not characteristic of cholecystitis. Cholecystitis typically presents with right upper quadrant pain.

Choice C reason:

This statement is correct. Right upper quadrant tenderness is a hallmark symptom of cholecystitis. The inflamed gallbladder causes pain and tenderness in this area.

Choice D reason:

This statement is incorrect. Pain radiating to the left shoulder is more indicative of conditions such as splenic disorders, not cholecystitis.

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Correct Answer is C

Explanation

Choice A reason:

Age below 30 years is not a risk factor for developing cholecystitis. Cholecystitis is more commonly seen in individuals over the age of 40, especially in those with additional risk factors such as obesity or a high-fat diet.

Choice B reason:

Regular physical exercise is not considered a risk factor for cholecystitis. In fact, staying physically active is generally beneficial for overall health and may help reduce the risk of gallstone formation.

Choice C reason:

This statement is correct. Family history of gallstones is a significant risk factor for developing cholecystitis. Genetics can play a role in the composition of bile and the propensity to form gallstones.

Choice D reason:

Consuming a low-fat diet is not a risk factor for cholecystitis. On the contrary, a high-fat diet is associated with an increased risk of gallstone formation and subsequent cholecystitis.

A. Encourage the client to eat a high-fat meal the night before the surgery. B. Administer antibiotics prophylactically before the surgery. C. Advise the client to avoid deep breathing exercises. D. Instruct the client to remain NPO (nothing by mouth) after midnight before the surgery.

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.

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A nurse is assessing a client with suspected cholecystitis. Which symptom would the nurse expect to find during the physical examination?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client asks a nurse about the risk factors for developing cholecystitis. Which of the following factors should the nurse include in the response?

Correct Answer is C

Explanation

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 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 nurse is teaching a client with chronic cholecystitis about dietary modifications to manage the condition. Which of the following instructions should the nurse include?

A client diagnosed with cholecystitis reports experiencing severe itching (pruritus) on the skin. Which of the following explanations should the nurse provide for this symptom?

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?

A nurse is caring for a client with cholecystitis who is experiencing severe abdominal pain. Which of the following actions should the nurse take first?

A nurse is caring for a client who had a cholecystostomy for cholecystitis. The client reports pain at the site of the drainage tube. Upon assessment, the nurse notes redness and swelling around the insertion site. Which of the following actions should the nurse take first?

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 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?