A nurse is caring for a client with acute cholecystitis. Which of the following clinical manifestations is most commonly associated with this condition?

Mild, intermittent right upper quadrant abdominal pain.

Left lower quadrant abdominal pain with rebound tenderness.

Severe, colicky abdominal pain radiating to the right shoulder.

Epigastric pain worsened by fatty meals.

Answer and Explanation

The Correct Answer is C

A. Mild, intermittent right upper quadrant (RUQ) pain is more characteristic of chronic cholecystitis rather than acute cholecystitis, which typically presents with severe pain.
B. Left lower quadrant (LLQ) pain with rebound tenderness is more indicative of conditions like diverticulitis, not acute cholecystitis.
C. Severe, colicky abdominal pain radiating to the right shoulder is the most common presentation of acute cholecystitis, often caused by gallbladder inflammation and obstruction of the cystic duct. The pain is due to irritation of the phrenic nerve, which supplies both the gallbladder and right shoulder.
D. Epigastric pain worsened by fatty meals is often seen in gallbladder disease but is more characteristic of biliary colic rather than acute cholecystitis.

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Correct Answer is B

Explanation

Choice A reason:

Itching is not typically associated with an allergic reaction and is more likely related to cholecystitis itself or complications such as cholangitis or bile duct obstruction.

Choice B reason:

This statement is correct. Cholecystitis can cause bile salts to accumulate in the skin, leading to pruritus (itching). When the bile flow is obstructed or altered, bile salts may not be properly eliminated from the body, leading to their accumulation in the skin and causing itching.

Choice C reason:

Dehydration may occur in some cases of cholecystitis due to nausea, vomiting, or reduced fluid intake, but it is not the primary cause of pruritus.

Choice D reason:

Cholecystitis does not typically cause elevated blood sugar levels. However, certain conditions like diabetes mellitus may increase the risk of cholecystitis.

A. "ERCP involves the use of magnetic resonance imaging to visualize your biliary system." B. "During ERCP, a radioactive tracer will be injected to assess your gallbladder function." C. "ERCP is an invasive procedure that uses an endoscope to visualize and treat your biliary system." D. "This procedure is a non-invasive test that uses sound waves to create images of your abdomen."

Correct Answer is C

Explanation

Choice A reason:

This statement is incorrect. ERCP does not involve the use of magnetic resonance imaging (MRI). It is an endoscopic procedure that combines endoscopy with fluoroscopy to visualize the biliary system.

Choice B reason:

This statement is incorrect. ERCP uses a contrast dye, not a radioactive tracer, to visualize the biliary system and identify abnormalities or obstructions.

Choice C reason:

This statement is correct. ERCP is an invasive procedure that involves the use of an endoscope. The endoscope is inserted through the mouth and guided through the digestive tract to the duodenum, where contrast dye is injected into the biliary and pancreatic ducts to visualize their structures and identify any abnormalities.

Choice D reason:

This statement is incorrect. ERCP is not a non-invasive test that uses sound waves. It is an invasive procedure that requires the insertion of an endoscope into the body to view the biliary system.

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A nurse is caring for a client with acute cholecystitis. Which of the following clinical manifestations is most commonly associated with this condition?

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Naxlex Comprehensive Predictor Exams

A client diagnosed with cholecystitis reports experiencing severe itching (pruritus) on the skin. Which of the following explanations should the nurse provide for this symptom?

Correct Answer is B

Explanation

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?

Correct Answer is C

Explanation

A nurse is reviewing the diagnostic results for a client with suspected cholecystitis. Which of the following laboratory findings is commonly elevated in this condition?

A client with cholecystitis is scheduled for a cholecystectomy and expresses fear and anxiety about the surgery. Which of the following statements by the nurse is most appropriate?

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

A client with obesity is concerned about the risk of developing cholecystitis. Which of the following explanations should the nurse provide regarding the relationship between obesity and gallstone formation?

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?

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

A client is diagnosed with chronic cholecystitis and asks the nurse about the potential complications of this condition. Which of the following responses should the nurse provide?