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 C

Explanation

Choice A reason: Cleaning the inside of the container with a wipe is not a part of the standard procedure for collecting a midstream urine sample. The focus should be on maintaining external cleanliness to avoid contamination of the sample, rather than cleaning the container itself.
Choice B reason: Urinating a little then stopping, while part of the process, is not enough information to indicate a complete understanding of the procedure. The more critical aspect is how the client cleans and collects the sample to ensure it is not contaminated.
Choice C reason: Using the cleansing wipe from front to back is the correct procedure for collecting a midstream urine sample. This method helps prevent contamination from bacteria that could be present around the genital area, ensuring a more accurate sample for analysis.
Choice D reason: Using each cleansing wipe twice is not advised. It can lead to contamination as the same wipe might transfer bacteria instead of eliminating them. It is essential to use a new wipe for each part of the cleaning process to maintain hygiene and ensure the accuracy of the urine sample.

A. Hepatitis A infects the kidneys. B. Manifestations of the virus are similar to flu-like symptoms. C. The incubation of the virus is 5 days. D. A family history increases your risk for acquiring hepatitis A.

Correct Answer is B

Explanation

Choice A reason: Hepatitis A primarily affects the liver, not the kidneys.
Choice B reason: The manifestations of hepatitis A are similar to flu-like symptoms, including fever, fatigue, nausea, and jaundice.
Choice C reason: The incubation period of hepatitis A is typically 15 to 50 days, not 5 days.
Choice D reason: A family history does not increase the risk of hepatitis A, which is transmitted through the ingestion of contaminated food and water.

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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 instructs a female client about collecting a midstream urine sample. Which of the following client statements indicates an understanding of the procedure?

Correct Answer is C

Explanation

A nurse is teaching a client who has hepatitis A. Which of the following information should the nurse include?

Correct Answer is B

Explanation

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

A nurse is providing teaching for a client who has experienced an acute episode of gastritis. Which of the following instructions should the nurse include in the teaching?

A nurse is planning care for a client who has end-stage cirrhosis of the liver with encephalopathy. Which of the following interventions should the nurse plan to implement to decrease the client's ammonia level?

A nurse is caring for a client and observes that the client's urine is dark amber, cloudy, and has an unpleasant odor. The nurse should recognize that these findings are associated with which of the following?

The nurse determines that a patient is experiencing oliguria based on which amount of urinary output?

A nurse is teaching a client who has hepatitis A about preventing transmission of the virus. Which of the following strategies should the nurse include in the teaching?

Which finding in the patient's history increases the risk for acute pancreatitis?

You arrive for your morning shift on the urology unit, and the night nurse gives a report on the following patients who will be under your care. Which one would you see first?