Which subjective description of pain would the nurse expect from a patient who has cholecystitis?

Epigastric-area pain that intensifies when the patient is lying down

Right upper-quadrant pain radiating to the shoulder and scapula

Right lower-quadrant pain with rebound tenderness

Left-flank pain with intermittent exacerbations

Answer and Explanation

The Correct Answer is B

Choice A reason: Epigastric-area pain that intensifies when lying down is more commonly associated with conditions like gastroesophageal reflux disease (GERD) or pancreatitis, rather than cholecystitis.
Choice B reason: Right upper-quadrant pain radiating to the shoulder and scapula is a classic symptom of cholecystitis. This pain is due to inflammation of the gallbladder, often aggravated by fatty meals, and may radiate to the back and shoulder.
Choice C reason: Right lower-quadrant pain with rebound tenderness is typically associated with appendicitis rather than cholecystitis. Cholecystitis primarily affects the right upper quadrant.
Choice D reason: Left-flank pain with intermittent exacerbations is not characteristic of cholecystitis. It might indicate conditions related to the left kidney or other left-sided abdominal issues.

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Correct Answer is A

Explanation

Choice A reason: Nausea and vomiting are common manifestations of peritonitis, an infection of the peritoneal cavity, often a complication of peritoneal dialysis. These symptoms, along with abdominal pain and fever, indicate peritoneal irritation and inflammation.
Choice B reason: Bradycardia, or slow heart rate, is not a typical symptom of peritonitis. It is more commonly associated with other conditions such as heart-related issues or severe hypothermia.
Choice C reason: Hyperactive bowel sounds can occur with various gastrointestinal disturbances, but they are not specifically indicative of peritonitis. Peritonitis typically presents with decreased bowel sounds due to inflammation and irritation of the peritoneum.
Choice D reason: Increased urinary output is not a symptom of peritonitis. In fact, peritonitis can sometimes cause decreased urine output if the infection affects kidney function.

A. Hypolipidemia B. Diabetes mellitus C. Gallstones D. COPD

Correct Answer is C

Explanation

Choice A reason: Hypolipidemia, or low levels of lipids in the blood, is not typically associated with acute pancreatitis. Hyperlipidemia (high levels of lipids) is a more relevant factor.
Choice B reason: Diabetes mellitus is a chronic condition that can develop as a result of chronic pancreatitis, but it is not a direct risk factor for acute pancreatitis.
Choice C reason: Gallstones are a common cause of acute pancreatitis. They can block the pancreatic duct, leading to inflammation and pain.
Choice D reason: COPD, a chronic lung disease, is not associated with acute pancreatitis and does not increase the risk for this condition.

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Which subjective description of pain would the nurse expect from a patient who has cholecystitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the client for which of the following manifestations of peritonitis?

Correct Answer is A

Explanation

A nurse is interviewing a client who has acute pancreatitis. Which of the following factors should the nurse anticipate finding in the client's history?

Correct Answer is C

Explanation

A nurse is teaching a client who has acute kidney injury about the oliguric phase. Which of the following information should the nurse include in the teaching?

A nurse is teaching a client who is preoperative for a sigmoid colostomy. Which of the following statements should the nurse include?

The healthcare provider prescribes lactulose for a patient with hepatic encephalopathy. Which data would the nurse monitor for effectiveness of this medication?

Which subjective description of pain would the nurse expect from a patient who has cholecystitis?

A nurse is caring for a client who is two days postoperative following the creation of an ileal conduit. Which of the following is an unexpected finding associated with this procedure?

A nurse is caring for a client who acquired hepatitis A from consuming contaminated food. The client's mouth is an example of which of the following links in the chain of infection?

A nurse is teaching a client who is preoperative for a colectomy. The client asks the nurse why he needs a large-bore NG tube. Which of the following statements should the nurse make?

A nurse is assessing a client who has peritonitis. Which of the following findings should the nurse expect?