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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is D
Explanation
Choice A reason:
Fasting for 12 hours is not required before an abdominal ultrasound. However, the client may be asked to avoid eating fatty or heavy meals before the procedure.
Choice B reason:
Filling the bladder with a gallon of water is unnecessary and not related to an abdominal ultrasound. A full bladder is required for pelvic ultrasounds, not abdominal ultrasounds.
Choice C reason:
Avoiding drinking liquids for 2 hours before the ultrasound is not necessary. In fact, a full bladder is preferred for better visualization during an abdominal ultrasound.
Choice D reason:
This statement is correct. To have a full bladder for the ultrasound, the client should drink 16 ounces of water about one hour before the procedure. A full bladder helps lift the intestines and improves the visualization of the gallbladder and surrounding structures.
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