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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Abdominal pain is not a typical complication of hypophysectomy and is less urgent compared to other potential complications.
Choice B reason: Urticaria (hives) of the arms can indicate an allergic reaction but is not directly related to the surgery. It requires attention but is not the most critical finding.
Choice C reason: Persistent nasal drainage following hypophysectomy could indicate a cerebrospinal fluid (CSF) leak, which is a serious complication. CSF leaks require immediate medical attention to prevent meningitis and other complications.
Choice D reason: Pain during urination is not directly related to the hypophysectomy and is less urgent compared to other potential complications.
Correct Answer is D
Explanation
Choice A reason: Pyridostigmine is a medication used to treat myasthenia gravis by inhibiting acetylcholinesterase, but it is not used as an antidote for edrophonium overdose. Pyridostigmine helps improve muscle strength by increasing the amount of acetylcholine available at the neuromuscular junction.
Choice B reason: Flumazenil is an antidote for benzodiazepine overdose and has no effect on edrophonium. It works by competitively inhibiting the actions of benzodiazepines on the GABA receptor.
Choice C reason: Acetylcholine itself is not used as an antidote for edrophonium overdose. Administering acetylcholine would not counteract the effects of excessive acetylcholinesterase inhibition caused by edrophonium.
Choice D reason: Atropine is the correct antidote for edrophonium overdose. Atropine is an anticholinergic drug that can counteract the excessive accumulation of acetylcholine caused by edrophonium, thereby alleviating symptoms such as bradycardia and muscle weakness.
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