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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
Diabetes does not increase bile production. However, it can lead to changes in bile composition, increasing the risk of gallstone formation.
Choice B reason:
This statement is incorrect. Diabetes is associated with increased cholesterol levels in the bile, which can contribute to gallstone formation.
Choice C reason:
This statement is correct. Diabetes can impair the function of the sphincter of Oddi, a muscular valve that controls the flow of bile into the duodenum. Dysfunction of the sphincter can lead to bile stasis and increase the risk of gallstone formation.
Choice D reason:
Diabetes does not increase the motility of the gallbladder. Instead, it may lead to reduced gallbladder motility, which can contribute to gallstone formation due to stasis of bile.
Correct Answer is C
Explanation
Choice A reason:
Dark urine and pale-colored stools are not typically associated with a gastrointestinal infection. These symptoms are more indicative of changes in bile flow or bilirubin excretion.
Choice B reason:
While cholecystitis can lead to malabsorption of nutrients, it is not the primary cause of changes in stool color to pale.
Choice C reason:
This statement is correct. Cholecystitis can obstruct the bile duct, leading to a decrease in bilirubin excretion. Bilirubin gives urine its characteristic color, and when excretion is reduced, the urine becomes darker (brownish). Likewise, the absence of bilirubin in the stool leads to pale-colored or clay-colored stools.
Choice D reason:
Dehydration may occur in some cases of cholecystitis, but it is not the primary cause of changes in urine and stool color.
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