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?

Nausea and vomiting after meals

Mild right upper quadrant pain

Referred pain to the left shoulder

High fever and chills

Answer and Explanation

The Correct Answer is D

Choice A reason:

Nausea and vomiting after meals are common symptoms in acute cholecystitis, but they do not indicate a severe complication. They are typical manifestations of gallbladder inflammation.

Choice B reason:

Mild right upper quadrant pain may be present in acute cholecystitis, but it does not suggest a severe complication.

Choice C reason:

Referred pain to the left shoulder (Kehr's sign) is a classic symptom of splenic rupture or other conditions involving the spleen, not directly related to cholecystitis.

Choice D reason:

This statement is correct. High fever and chills may indicate the presence of infection and sepsis, which can be severe complications of acute cholecystitis.

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Correct Answer is D

Explanation

Choice A reason:

A perforated peptic ulcer can lead to localized peritonitis, which may cause abdominal rigidity and guarding, rather than hypoactive bowel sounds.

Choice B reason:

Reduced abdominal tenderness is not expected in a client with a perforated peptic ulcer. Abdominal tenderness is likely to be present due to inflammation and irritation of the peritoneal lining.

Choice C reason:

Elevated blood pressure is not a typical finding in a client with a perforated peptic ulcer. The client may experience hypotension due to fluid loss and hemorrhage.

Choice D reason:

This statement is correct. A perforated peptic ulcer can cause increased abdominal rigidity due to the inflammation and irritation of the peritoneal lining. The abdomen may feel tense and rigid upon palpation.

A. Consumption of spicy foods and carbonated beverages B. Regular consumption of yogurt and probiotics C. Frequent use of antacids for heartburn relief D. Long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs)

Correct Answer is D

Explanation

Choice A reason:

Consumption of spicy foods and carbonated beverages may exacerbate symptoms in individuals with peptic ulcer disease, but they are not direct risk factors for developing the condition.

Choice B reason:

Regular consumption of yogurt and probiotics may promote gastrointestinal health, but they are not specifically risk factors for peptic ulcer disease.

Choice C reason:

Frequent use of antacids for heartburn relief may indicate underlying acid-related issues, but it is not a risk factor for peptic ulcer disease.

Choice D reason:

This statement is correct. Long-term use of NSAIDs is a well-established risk factor for peptic ulcer disease. NSAIDs can irritate the stomach lining and increase the risk of ulcer formation.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client admitted with a perforated peptic ulcer. Which of the following findings should the nurse anticipate in the client's physical assessment?

Correct Answer is D

Explanation

A nurse is providing education to a client recently diagnosed with peptic ulcer disease. Which of the following risk factors should the nurse emphasize as contributing to the development of the client's condition?

Correct Answer is D

Explanation

A client asks the nurse about the common risk factors for peptic ulcer disease. Which of the following responses should the nurse provide?

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 client with chronic cholecystitis reports experiencing indigestion and bloating after meals. The nurse should recognize these symptoms as related to which of the following factors?

A client with peptic ulcer disease is at risk of developing a gastrointestinal bleed. The nurse should assess the client for which of the following early signs of bleeding?

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 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 caring for a client suspected to have cholecystitis. Which of the following diagnostic tests should the nurse anticipate as the first-line imaging study to confirm the diagnosis?

A nurse is providing education to a client with a history of peptic ulcer disease on preventive strategies. Which of the following instructions should the nurse include to help prevent ulcer recurrence?