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 D

Explanation

Choice A reason: Adjusting the rate of the infusion or catheter drainage without first identifying the cause of the lack of drainage can be ineffective. It is essential to determine whether there is a physical obstruction before making rate adjustments.
Choice B reason: Irrigating the catheter might be necessary if there is a blockage, but it is not the first step. Checking the tubing for kinks should be done first to identify and correct any simple mechanical obstructions.
Choice C reason: Notifying the provider is important if the issue persists, but the nurse should first assess and try to resolve the problem by checking for any obvious causes like kinks in the tubing. Immediate provider notification is not the first action.
Choice D reason: Checking the tubing for kinks is the first and most logical step. Kinks in the catheter tubing can easily obstruct urine flow, and this simple assessment can quickly identify and resolve the issue, restoring proper drainage.

A. Prostatic cancer B. Colon cancer C. Liver cancer D. Breast cancer

Correct Answer is A

Explanation

Choice A reason: An increased prostate-specific antigen (PSA) level is primarily indicative of prostatic conditions, including prostate cancer. PSA is a protein produced by both normal and malignant cells of the prostate gland. Elevated PSA levels can be a sign of prostate cancer, benign prostatic hyperplasia (BPH), or prostatitis. It is an important marker used in the screening and monitoring of prostate cancer.
Choice B reason: Colon cancer does not typically result in elevated PSA levels. Instead, colon cancer is often associated with markers like carcinoembryonic antigen (CEA). PSA is specific to prostate tissue, and its elevation is not related to colon cancer.
Choice C reason: Liver cancer is not associated with increased PSA levels. Liver function tests, alpha-fetoprotein (AFP), and imaging studies are more relevant in the diagnosis and monitoring of liver cancer. PSA levels do not provide information about liver cancer.
Choice D reason: Breast cancer does not affect PSA levels. Breast cancer markers include CA 15-3, CA 27.29, and others specific to breast tissue. PSA is a prostate-specific marker and is not used in the context of breast cancer diagnosis or monitoring.

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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 5 hours postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

A nurse is evaluating a client's laboratory results. The nurse should recognize that an increase in the client's prostate-specific antigen (PSA) laboratory value is indicative of which of the following diagnoses?

Correct Answer is A

Explanation

A nurse is performing discharge teaching with a client about the care of a newly created ileal conduit. The nurse should instruct the client to empty the appliance:

A nurse is caring for a client who is postoperative following an open cholecystectomy. Which of the following actions should the nurse take when caring for the client's Jackson-Pratt (JP) drain?

After a patient has undergone cholecystectomy, for which immediate complication would the nurse monitor?

A nurse is teaching a client who has cholecystitis about required dietary modifications. The nurse should include which of the following foods as appropriate for the client's diet?

An acute pancreatitis patient who complains of muscle cramping. The nurse explains to the patient that is the typical sign and symptom of? Select best answer.

A nurse is planning care for a client who is scheduled to have a kidney biopsy. Which of the following information should the nurse include in the plan? (Select all that apply)

A nurse is caring for a client who has a new colostomy and states they are not ready to look at the stoma. Which of the following teaching strategies is helpful and encourages the client to share their feelings about the colostomy?

You are working in a urologist's office. When you return from lunch, you have the following phone messages. Which one requires immediate attention?