A nurse is caring for a client diagnosed with cholecystitis. The nurse should assess the client for which of the following classic clinical manifestations of this condition?

Severe lower back pain

Epigastric pain radiating to the left shoulder

Right upper quadrant abdominal pain radiating to the right shoulder

Left lower quadrant abdominal pain with rebound tenderness.

Answer and Explanation

The Correct Answer is C

Choice A reason:

Severe lower back pain is not a classic manifestation of cholecystitis. Cholecystitis typically presents with pain in the right upper quadrant of the abdomen that may radiate to the right shoulder.

Choice B reason:

Epigastric pain radiating to the left shoulder is not a classic manifestation of cholecystitis. Cholecystitis typically presents with pain in the right upper quadrant of the abdomen that may radiate to the right shoulder.

Choice C reason:

This statement is correct. Right upper quadrant abdominal pain that radiates to the right shoulder is a classic manifestation of cholecystitis. The pain is often described as sharp or colicky and may worsen after eating fatty or greasy foods.

Choice D reason:

Left lower quadrant abdominal pain with rebound tenderness is not a classic manifestation of cholecystitis. Cholecystitis typically presents with pain in the right upper quadrant of the abdomen.

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Correct Answer is B

Explanation

Choice A reason:

While pain relief is important, it is essential to address the redness and swelling first, as they may indicate an infection or other complication related to the cholecystostomy.

Choice B reason:

This statement is correct. The nurse should notify the healthcare provider immediately about the client's symptoms and findings to ensure prompt evaluation and appropriate interventions.

Choice C reason:

Applying an ice pack may provide some relief for pain and inflammation, but it does not address the potential underlying cause of redness and swelling.

Choice D reason:

Changing the dressing and cleaning the insertion site is important for maintaining cleanliness, but the nurse should first notify the healthcare provider about the client's symptoms for further evaluation.

A. "The HIDA scan will provide detailed images of your gallbladder using magnetic resonance imaging." B. "During the HIDA scan, a radioactive tracer will be injected to evaluate the function of your liver." C. "The HIDA scan will assess the patency of your biliary system and the emptying of your gallbladder." D. "This scan uses an endoscope to visualize your pancreas and detect any abnormalities."

Correct Answer is C

Explanation

Choice A reason:

This statement is incorrect. The HIDA scan does not use magnetic resonance imaging (MRI) to visualize the gallbladder. It is a nuclear medicine test that uses a radioactive tracer.

Choice B reason:

This statement is incorrect. While the HIDA scan involves the use of a radioactive tracer, its purpose is not to evaluate liver function. Instead, it assesses the biliary system and gallbladder.

Choice C reason:

This statement is correct. The HIDA scan is a nuclear medicine test used to assess the patency of the biliary system and the emptying of the gallbladder. A radioactive tracer is injected into the client's bloodstream, and its uptake and excretion into the biliary system are monitored.

Choice D reason:

This statement is incorrect. The HIDA scan does not involve the use of an endoscope. It is a non-invasive imaging test that is performed externally, not internally.

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A nurse is caring for a client diagnosed with cholecystitis. The nurse should assess the client for which of the following classic clinical manifestations of this condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

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?

Correct Answer is C

Explanation

A nurse is providing education to a client diagnosed with cholecystitis. Which statement by the client indicates a need for further teaching?

A client is undergoing an endoscopic retrograde cholangiopancreatography (ERCP) to evaluate the biliary system for suspected cholecystitis. Which of the following explanations should the nurse provide to the client about this procedure?

A nurse is providing education to a client with a history of diabetes mellitus about the risk of developing cholecystitis. Which of the following explanations should the nurse include in the teaching?

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?

A nurse is teaching a client about the etiology of cholecystitis. Which of the following factors should the nurse include as a common cause of gallbladder inflammation?

A client presents with severe right upper quadrant abdominal pain, fever, and jaundice (yellowing of the skin and eyes). Which of the following conditions should the nurse suspect based on these clinical manifestations?

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 nurse is providing discharge instructions to a client who underwent a cholecystectomy. Which statement by the client indicates a need for further teaching?