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. "Laparoscopic surgery involves a smaller incision, resulting in less postoperative pain and a shorter hospital stay." B. "Open surgery is preferred for cholecystitis as it allows for better visualization and reduces the risk of surgical complications." C. "Both laparoscopic and open surgeries have similar outcomes, but laparoscopic surgery has a longer recovery time." D. "You can choose either type of surgery, but laparoscopic surgery is associated with a higher risk of postoperative infection."

Correct Answer is A

Explanation

Choice A reason:

This statement is correct. Laparoscopic cholecystectomy involves making several small incisions, resulting in less postoperative pain, reduced scarring, and a shorter hospital stay compared to open surgery.

Choice B reason:

Open surgery may have advantages in certain situations, but for uncomplicated cases of acute cholecystitis, laparoscopic surgery is generally preferred due to its minimally invasive nature.

Choice C reason:

Laparoscopic surgery is associated with a shorter recovery time and faster return to normal activities compared to open surgery.

Choice D reason:

Laparoscopic surgery is not associated with a higher risk of postoperative infection. In fact, it is known for having lower rates of surgical site infections compared to open 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 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?

Correct Answer is A

Explanation

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?

A nurse is providing discharge instructions to a client after a cholecystectomy. Which of the following statements by the client indicates a need for further teaching?

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 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 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?

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

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 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?