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 ["A","C","D"]

Explanation

Choice A reason: A high purine diet is a risk factor for gout because purines are metabolized into uric acid, which can accumulate and form crystals in the joints.

Choice B reason: Being well-hydrated is not a risk factor for gout; in fact, adequate hydration helps prevent gout attacks by diluting and promoting the excretion of uric acid.

Choice C reason: Diuretic use can increase the risk of gout by reducing the kidneys' ability to excrete uric acid, leading to higher levels in the blood.

Choice D reason: Starvation dieting can lead to an increase in uric acid production, raising the risk of gout attacks.

Choice E reason: Having a normal BMI is not a risk factor for gout. Obesity is a known risk factor, while maintaining a healthy weight can reduce the risk of developing gout.

A. Mineralocorticoids B. Calcitonin C. Thyroxine (T4) D. Triiodothyronine (T3) E. Glucocorticoids

Correct Answer is ["C","D"]

Explanation

Choice A reason: Mineralocorticoids are produced by the adrenal glands and regulate sodium and potassium balance, not typically associated with the symptoms of myxedema.

Choice B reason: Calcitonin is involved in calcium metabolism and is not related to the symptoms of myxedema.

Choice C reason: Thyroxine (T4) is a thyroid hormone essential for regulating metabolism. A deficiency in T4 leads to symptoms such as fatigue, cold intolerance, and myxedema.

Choice D reason: Triiodothyronine (T3) is another thyroid hormone crucial for metabolism regulation. A lack of T3, along with T4, contributes to the symptoms of myxedema.

Choice E reason: Glucocorticoids are produced by the adrenal glands and are involved in stress response and metabolism, but are not directly related to myxedema.

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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

A nurse is discussing gout with a client concerned about developing the disorder. What should the nurse identify as risk factors for the disease? (Select all that apply)

Correct Answer is ["A","C","D"]

Explanation

A client with myxedema reports experiencing fatigue, cold intolerance, and swelling around the eyes and face. The nurse plans care, understanding that these clinical manifestations are caused by a lack of or diminished production of which hormones? (Select all that apply)

Correct Answer is ["C","D"]

Explanation

A nurse in the emergency department is caring for a client who is suspected to be in a cholinergic crisis. Which of the following factors should the nurse identify as a possible cause?

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A nurse is caring for a client who has named a person to serve as his health care proxy. The client states he needs clarification about this type of advance directive. Which statement by the client indicates a need for clarification?

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

A client diagnosed with angina pectoris appears to be very anxious and states, "So I had a heart attack, right?" Which response should the nurse make to the client?

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