Which assessment findings will the nurse anticipate in the client with cholelithiasis?
Coffee ground emesis, nausea/vomiting
Right lower quadrant abdominal pain, constipation.
Absent bowel sounds, abdominal pain
Right upper quadrant abdominal pain, nausea/vomiting
The Correct Answer is D
Cholelithiasis refers to the presence of gallstones in the gallbladder or bile ducts. The most common symptom is right upper quadrant abdominal pain, which may be colicky or steady. Nausea and vomiting are also commonly associated with cholelithiasis.
Coffee ground emesis and constipation are not typical findings associated with cholelithiasis. Absent bowel sounds may be a sign of bowel obstruction but are not specific to cholelithiasis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Cushing's syndrome is a disorder characterized by excessive production or prolonged exposure to high levels of glucocorticoids, particularly cortisol. This can occur due to various reasons, such as the use of corticosteroid medications or overproduction of cortisol by the adrenal glands. Elevated glucocorticoid levels result in a variety of clinical manifestations associated with Cushing's syndrome, including weight gain, central obesity, muscle wasting, thinning of the skin, easy bruising, and impaired glucose metabolism.
It's important to note that Cushing's syndrome can have different underlying causes, such as adrenal tumors, pituitary tumors, or ectopic ACTH production. Regardless of the cause, the common feature in Cushing's syndrome is the excessive glucocorticoid levels, which contribute to the signs and symptoms of the condition.
Correct Answer is B
Explanation
In a child with acute appendicitis, it is common to observe an elevated white blood cell count (WBC) as a response to the infection or inflammation associated with the condition. The neutrophil count may be within the lower end of the normal range or slightly decreased, as it can be affected by the severity and duration of the appendicitis. The red blood cell count (RBC) appears to be within the normal range. The lactic acid level is normal, indicating no significant metabolic acidosis.
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