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

A. Borborygmi refers to the audible sounds produced by the movement of gas and fluid in the intestines. This can occur in dumping syndrome due to increased intestinal motility and rapid gastric emptying, making this a present manifestation.
B. Nausea and vomiting can occur in dumping syndrome, particularly shortly after eating, due to the rapid movement of food into the small intestine, which can irritate the gut. Therefore, this is a present manifestation.
C. Dizziness can occur in dumping syndrome, often as a result of rapid shifts in blood volume and blood sugar levels after eating. This symptom can be attributed to the body's response to the sudden influx of food and fluid into the intestines, leading to symptoms like weakness and dizziness. Hence, this is a present manifestation.
D. Hypertension is not typically associated with dumping syndrome. In fact, many individuals may experience hypotension (low blood pressure) due to the rapid shift of fluid to the intestines, which can reduce circulating blood volume.

A. Constipation can be uncomfortable and may require management, but it is not typically a direct complication of peptic ulcer disease. While it is important to address, it does not pose an immediate threat to the client’s health.

B. Epigastric discomfort is a common symptom of peptic ulcer disease and can indicate that the ulcer is active or that the patient is experiencing gastric distress. However, it does not indicate a severe or life- threatening condition and should be managed but is not a priority finding.
C. Hematemesis, or vomiting blood, is a serious symptom that indicates possible bleeding from the ulcer. This is a potentially life-threatening condition that requires immediate medical intervention, as it can lead to significant blood loss and complications such as shock.
D. Dyspepsia refers to general digestive discomfort, which may include symptoms like bloating, nausea, and heartburn. While it is a common symptom in peptic ulcer disease, it does not indicate an urgent medical condition.