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: Limiting milk intake is not typically necessary for managing gastritis unless the patient has lactose intolerance or a specific reaction to dairy. The focus should be on avoiding substances that irritate the stomach lining.
Choice B reason: Limiting strenuous exercise is generally not related to managing gastritis. Exercise can actually help with overall health, including digestive health, as long as it is not causing direct discomfort.
Choice C reason: Taking NSAIDs is counterproductive for a patient with gastritis, as NSAIDs can irritate the stomach lining and exacerbate symptoms. Patients are usually advised to avoid NSAIDs.
Choice D reason: Avoiding alcohol is crucial for managing gastritis, as alcohol can irritate and erode the stomach lining, leading to increased inflammation and pain.

A. Reinsert the tube B. Reposition the tube C. Document the findings and administer prescribed feedings D. Notify the healthcare provider immediately

Correct Answer is D

Explanation

Choice A reason: Reinserting the tube without confirming its correct placement can cause harm or lead to complications. It is not the nurse's role to reinsert the tube without proper verification.
Choice B reason: Repositioning the tube without verifying its placement could also cause harm. Ensuring correct placement should be done before any attempts to reposition the tube.
Choice C reason: Documenting the findings and administering feedings without confirming the tube's correct placement can result in serious complications, such as feeding into the wrong location.
Choice D reason: Notifying the healthcare provider immediately is the appropriate action. The provider can order verification of tube placement, such as through an X-ray, to ensure it is correctly positioned before any feedings are administered.

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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 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?

Correct Answer is D

Explanation

The nurse suspects that a patient who underwent esophageal surgery has a misplaced jejunostomy feeding tube. Which action would the nurse take?

Correct Answer is D

Explanation

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?

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A nurse is preparing dietary instructions for a client who has episodes of biliary colic from chronic cholecystitis. Which of the following instructions should the nurse include in the teaching plan?

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