The nurse is assessing a client who is experiencing an acute episode of cholecystitis. Which of these clinical manifestations support this diagnosis?

Right upper quadrant pain

Right lower leg pain

Positive Babinski sign

Yawning at mass

Answer and Explanation

The Correct Answer is A

Choice A reason: Right upper quadrant pain is a common clinical manifestation of cholecystitis, which is inflammation of the gallbladder. The pain is often severe and can radiate to the back or shoulder. It is usually triggered by the intake of fatty foods and may be accompanied by other symptoms such as nausea and vomiting.

Choice B reason: Right lower leg pain is not associated with cholecystitis. This type of pain could indicate other conditions such as deep vein thrombosis or musculoskeletal issues.

Choice C reason: A positive Babinski sign indicates central nervous system dysfunction and is not related to cholecystitis. It involves dorsiflexion of the big toe and fanning of the other toes when the sole of the foot is stimulated.

Choice D reason: Yawning at mass is irrelevant to the diagnosis of cholecystitis. It could indicate tiredness or boredom but has no clinical significance related to gallbladder inflammation.

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Correct Answer is D

Explanation

Choice A reason: Polyuria, nausea, and headaches are not specific clinical manifestations of thyroid storm. Thyroid storm is characterized by extreme hyperthyroidism, leading to severe symptoms such as high fever and tachycardia. Polyuria and nausea could occur in various conditions but are not hallmark signs of a thyroid storm.

Choice B reason: Polydipsia, translucent skin, and obesity are not typical manifestations of thyroid storm. These symptoms are more associated with other conditions, such as diabetes (polydipsia) and metabolic disorders (obesity). Thyroid storm involves acute and severe symptoms related to excessive thyroid hormone levels.

Choice C reason: Profuse sweating and flushing can occur in thyroid storm, but constipation is not typically observed. In fact, hyperthyroidism generally increases gastrointestinal motility, leading to diarrhea rather than constipation. Thyroid storm involves symptoms reflecting severe metabolic overactivity.

Choice D reason: High fever, severe tachycardia, and hypertension are classic clinical manifestations of thyroid storm. The condition involves a rapid and life-threatening escalation of hyperthyroid symptoms, requiring immediate medical attention to prevent complications.

A. Mild headaches B. Cloudiness that worsens at night C. Severe eye pain D. Mild eye pain

Correct Answer is C

Explanation

Choice A reason: Mild headaches are not typically associated with increased intraocular pressure. While headaches can accompany eye conditions, they are not as common or specific as severe eye pain in this context.

Choice B reason: Cloudiness that worsens at night could be related to cataracts or other eye conditions but is not a specific manifestation of increased intraocular pressure. Severe eye pain is a more direct indicator of conditions like acute angle-closure glaucoma.

Choice C reason: Severe eye pain is a significant clinical manifestation of increased intraocular pressure, such as in acute angle-closure glaucoma. This condition can lead to sudden, severe eye pain due to the rapid rise in intraocular pressure, which can damage the optic nerve if not treated promptly.

Choice D reason: Mild eye pain may occur in various minor eye conditions but is not as indicative of serious issues like increased intraocular pressure. Severe eye pain is more concerning and requires immediate assessment and intervention.

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The nurse is assessing a client who is experiencing an acute episode of cholecystitis. Which of these clinical manifestations support this diagnosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse in the medical ICU suspects that the client is experiencing a thyroid storm. Which clinical manifestations should the nurse anticipate?

Correct Answer is D

Explanation

In reviewing a 50-year-old client's medical record, which clinical manifestation should the nurse plan to assess for?

Correct Answer is C

Explanation

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