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?

Abdominal computed tomography (CT) scan

Magnetic resonance imaging (MRI) of the gallbladder

Abdominal ultrasound

Endoscopic retrograde cholangiopancreatography (ERCP)

Answer and Explanation

The Correct Answer is C

Choice A reason:

Abdominal CT scan can provide detailed images, but it is not typically the first-line imaging study for diagnosing cholecystitis. It may be used if complications are suspected.

Choice B reason:

MRI of the gallbladder can provide high-resolution images, but it is not the first-line imaging study for diagnosing cholecystitis.

Choice C reason:

This statement is correct. Abdominal ultrasound is the first-line imaging study for diagnosing cholecystitis. It can visualize the gallbladder, detect gallstones, and assess for signs of inflammation, such as gallbladder wall thickening and pericholecystic fluid.

Choice D reason:

ERCP is an invasive procedure used to visualize the biliary and pancreatic ducts, but it is not typically used as a first-line diagnostic test for cholecystitis.

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Correct Answer is D

Explanation

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.

A. "It is best to take the PPI with your meals to enhance its effectiveness." B. "You should take the PPI on an empty stomach, preferably 30 minutes before a meal." C. "You can take the PPI at any time of the day, as long as it is taken consistently." D. "Taking the PPI before bedtime is most effective for managing nighttime acid reflux."

Correct Answer is B

Explanation

Choice A reason:

Taking the PPI with meals is not the most effective timing for acid suppression. PPIs work best when taken on an empty stomach.

Choice B reason:

This statement is correct. PPIs are most effective when taken on an empty stomach, about 30 minutes before a meal. This allows the medication to be absorbed and inhibit acid secretion in the stomach before food intake.

Choice C reason:

While consistency in medication timing is important, taking the PPI at any time of the day may not optimize its effectiveness.

Choice D reason:

Taking the PPI before bedtime may not provide the best acid suppression throughout the day. Taking it on an empty stomach before a meal is a more appropriate approach.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

A client with peptic ulcer disease is prescribed a proton pump inhibitor (PPI) for acid suppression. The client asks the nurse about the best time to take the medication. Which of the following responses should the nurse provide?

Correct Answer is B

Explanation

A client with peptic ulcer disease reports experiencing frequent abdominal pain, especially during mealtimes. Which of the following nursing interventions should the nurse implement to alleviate the client's pain?

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