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 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.

A. Hyperactive bowel sounds. B. Severe left upper quadrant pain. C. Right upper quadrant tenderness. D. Pain radiating to the left shoulder.

Correct Answer is C

Explanation

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

Correct Answer is C

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 providing discharge instructions to a client who underwent a cholecystectomy. Which statement 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 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 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 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 client asks a nurse about the risk factors for developing cholecystitis. Which of the following factors should the nurse include in the response?

A client diagnosed with acute cholecystitis is scheduled for a cholecystectomy. Which intervention should the nurse implement preoperatively?