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?
Serum amylase
Blood urea nitrogen (BUN)
Serum bilirubin
C-reactive protein (CRP)
The Correct Answer is C
Choice A reason:
Serum amylase is typically elevated in pancreatitis, not cholecystitis.
Choice B reason:
Blood urea nitrogen (BUN) is a kidney function marker and is not directly related to cholecystitis.
Choice C reason:
This statement is correct. Serum bilirubin is commonly elevated in cholecystitis due to bile duct obstruction or impaired bile flow. Elevated bilirubin levels can cause jaundice (yellowing of the skin and eyes) in some cases.
Choice D reason:
C-reactive protein (CRP) is a marker of inflammation and can be elevated in various conditions, including cholecystitis. However, it is not specific to cholecystitis and may also be elevated in other inflammatory processes.
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Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
Choice A reason:
This statement is correct and does not indicate a need for further teaching. Avoiding fatty foods is essential in managing cholecystitis as it reduces the stimulation of the gallbladder and may prevent symptom exacerbation.
Choice B reason:
This statement is correct and does not indicate a need for further teaching. Taking prescribed antibiotics is important if the cholecystitis is caused by an infection, as it helps in treating the underlying cause.
Choice C reason:
This statement is incorrect and indicates a need for further teaching. Increasing alcohol intake can worsen inflammation and exacerbate cholecystitis symptoms. Clients with cholecystitis should avoid alcohol to support their recovery.
Choice D reason:
This statement is correct and does not indicate a need for further teaching. Applying a warm compress to the abdomen can help relieve pain associated with cholecystitis and promote comfort.
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