A client presents with severe right upper quadrant abdominal pain, fever, and jaundice (yellowing of the skin and eyes). Which of the following conditions should the nurse suspect based on these clinical manifestations?

Gastroenteritis

Cholecystitis with cholangitis

Urinary tract infection

Gastroesophageal reflux disease (GERD)

Answer and Explanation

The Correct Answer is B

Choice A reason:

Gastroenteritis typically presents with symptoms such as diarrhea, vomiting, and abdominal cramps. It does not cause jaundice or severe right upper quadrant pain.

Choice B reason:

This statement is correct. Cholecystitis with cholangitis is characterized by severe right upper quadrant abdominal pain, fever, and jaundice. Cholangitis is an inflammation of the bile ducts, often caused by gallstone migration and obstruction.

Choice C reason:

A urinary tract infection may cause symptoms such as burning urination and frequent urination but does not present with right upper quadrant abdominal pain or jaundice.

Choice D reason:

GERD is a condition characterized by acid reflux and heartburn. It does not cause severe right upper quadrant abdominal pain or jaundice.

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Correct Answer is C

Explanation

Choice A reason:

This statement is incorrect. Genetic factors can influence bile composition and the risk of gallstone formation.

Choice B reason:

This statement is incorrect. Family history of gallstones can significantly increase the risk of developing gallstones, more than 10%.

Choice C reason:

This statement is correct. Genetic factors play a significant role in determining bile composition and gallstone formation. Certain genetic variations can increase cholesterol levels or affect the balance of bile components, predisposing individuals to gallstone formation.

Choice D reason:

Family history of gallstones can affect the risk of gallstones in both men and women. It is not limited to a specific gender.

A. Serum amylase B. Blood urea nitrogen (BUN) C. Serum bilirubin D. C-reactive protein (CRP)

Correct Answer is C

Explanation

Choice A reason:

Serum amylase is typically elevated in pancreatitis, not cholecystitis.

Choice B reason:

Blood urea nitrogen (BUN) is a kidney function marker and is not directly related to cholecystitis.

Choice C reason:

This statement is correct. Serum bilirubin is commonly elevated in cholecystitis due to bile duct obstruction or impaired bile flow. Elevated bilirubin levels can cause jaundice (yellowing of the skin and eyes) in some cases.

Choice D reason:

C-reactive protein (CRP) is a marker of inflammation and can be elevated in various conditions, including cholecystitis. However, it is not specific to cholecystitis and may also be elevated in other inflammatory processes.

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A client presents with severe right upper quadrant abdominal pain, fever, and jaundice (yellowing of the skin and eyes). Which of the following conditions should the nurse suspect based on these clinical manifestations?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is concerned about the risk of developing cholecystitis due to a family history of gallstones. Which of the following explanations should the nurse provide regarding the genetic predisposition to gallstone formation?

Correct Answer is C

Explanation

A nurse is reviewing the diagnostic results for a client with suspected cholecystitis. Which of the following laboratory findings is commonly elevated in this condition?

Correct Answer is C

Explanation

A client with cholecystitis is scheduled for a laparoscopic cholecystectomy. The nurse is preparing the client for surgery and explains the importance of deep breathing exercises. Which of the following benefits of deep breathing should the nurse include in the explanation?

A client is diagnosed with acute cholecystitis and is scheduled for a cholecystectomy. The client asks the nurse about the benefits of laparoscopic surgery compared to open surgery. Which of the following responses should the nurse provide?

A nurse is teaching a client about the etiology of cholecystitis. Which of the following factors should the nurse include as a common cause of gallbladder inflammation?

A nurse is caring for a client diagnosed with cholecystitis. The nurse should assess the client for which of the following classic clinical manifestations of this condition?

A nurse is caring for a client with chronic cholecystitis who is experiencing intermittent pain and discomfort. Which of the following measures should the nurse recommend to manage pain and improve symptoms in this client?

A client is undergoing an endoscopic retrograde cholangiopancreatography (ERCP) to evaluate the biliary system for suspected cholecystitis. Which of the following explanations should the nurse provide to the client about this procedure?

A client diagnosed with acute cholecystitis is scheduled for a cholecystectomy. Which intervention should the nurse implement preoperatively?

A nurse is caring for a client with acute cholecystitis. Which of the following clinical manifestations is most commonly associated with this condition?