The nurse is caring for a patient with suspected cholecystitis. Which of the following is not a manifestation of cholecystitis?

Epigastric pain

Murphy's Sign

Green colored stool

Nausea and vomiting

Answer and Explanation

The Correct Answer is C

A.   Epigastric pain is a common symptom of cholecystitis. Patients often experience pain in the upper abdomen, which can radiate to the right shoulder or back. This symptom is typical in cases of gallbladder inflammation.
B.   Murphy's sign is a physical examination finding where the patient experiences pain upon palpation of the right upper quadrant during inspiration. This sign is indicative of gallbladder inflammation and is often associated with cholecystitis. Therefore, it is a manifestation of the condition.
C.   Green colored stool is not typically associated with cholecystitis. Stool color can vary based on diet, medications, or the presence of bile. While pale or clay-colored stools can occur with obstruction of bile flow (such as with gallstones), green stools are more often related to rapid transit through the intestines, dietary factors, or certain infections rather than cholecystitis itself.
D.   Nausea and vomiting are common symptoms of cholecystitis. Patients may experience these symptoms due to the inflammation and irritation of the gastrointestinal tract associated with gallbladder issues.

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

Explanation

A. Living independently does not inherently increase the risk for C. difficile. Risk factors are more related to antibiotic use, exposure in healthcare settings, and individual health conditions rather than the living situation itself.
B. A weakened immune system (due to conditions like HIV/AIDS, cancer, or immunosuppressive therapy) can increase susceptibility to infections, including C. difficile. Individuals with compromised immunity are less able to fight off infections.
C. The use of antibiotics is a significant risk factor for C. difficile infection. Antibiotics can disrupt the normal gut flora, leading to overgrowth of C. difficile and subsequent infection.
D. While watery diarrhea is a common symptom of C. difficile infection, it is not a risk factor for developing the infection itself. Instead, it indicates that the infection is already present. Thus, this option does not contribute to the risk of developing C. difficile.
E. Fever is often a symptom of an underlying infection but is not a direct risk factor for developing C. difficile. It can occur with C. difficile infection but does not increase the likelihood of becoming infected.

A. Distended neck veins B. Projectile vomiting C. Ridged abdomen D. Red currant jelly stools

Correct Answer is B

Explanation

A. Distended neck veins are typically associated with conditions that lead to increased central venous pressure, such as heart failure or fluid overload, not pyloric stenosis. Therefore, this option is not relevant to pyloric stenosis.
B. Projectile vomiting is a classic symptom of pyloric stenosis. This occurs due to the obstruction caused by the thickened pylorus, which prevents food from passing into the duodenum. The vomiting is forceful and occurs shortly after feeding, making this option a hallmark of the condition.
C. A ridged (or rigid) abdomen can indicate underlying issues, such as peritonitis or other abdominal emergencies, but it is not a typical finding associated specifically with pyloric stenosis. Pyloric stenosis may lead to some degree of abdominal distension, but not necessarily to a ridged abdomen.

D. Red currant jelly stools are associated with intussusception, not pyloric stenosis. This type of stool appears when there is a mix of blood and mucus due to bowel obstruction or ischemia, but it is not a symptom of pyloric stenosis.

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The nurse is caring for a patient with suspected cholecystitis. Which of the following is not a manifestation of cholecystitis?

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Naxlex Comprehensive Predictor Exams

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Explanation

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