A nurse is assessing a client suspected to have cholecystitis. Which of the following clinical manifestations should the nurse prioritize as a hallmark symptom of this condition?

Right upper quadrant abdominal pain radiating to the right shoulder

Left lower quadrant abdominal pain with rebound tenderness

Midline epigastric pain aggravated by lying down

Diffuse abdominal pain with a low-grade fever

Answer and Explanation

The Correct Answer is A

Choice A reason:

This statement is correct. Right upper quadrant abdominal pain that radiates to the right shoulder is a hallmark symptom of cholecystitis. The pain is typically sudden, severe, and constant, and it is often triggered by a fatty meal.

Choice B reason:

Left lower quadrant abdominal pain with rebound tenderness is not characteristic of cholecystitis. It may indicate other conditions, such as diverticulitis or appendicitis.

Choice C reason:

Midline epigastric pain aggravated by lying down is more indicative of gastroesophageal reflux disease (GERD) rather than cholecystitis.

Choice D reason:

Diffuse abdominal pain with a low-grade fever may be seen in various conditions, but it does not specifically point to cholecystitis.

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Correct Answer is D

Explanation

Choice A reason:

This statement describes an esophagoscopy, not an endoscopy. An endoscopy examines the upper gastrointestinal tract, including the stomach and duodenum.

Choice B reason:

This statement describes a colonoscopy, not an endoscopy. An endoscopy does not involve the lower gastrointestinal tract.

Choice C reason:

This statement describes an ultrasound, not an endoscopy. An endoscopy is a direct visualization procedure.

Choice D reason:

This statement is correct. An endoscopy involves inserting a flexible tube (endoscope) with a camera on the end through the mouth to examine the stomach and duodenum. It is a commonly used procedure to assess and diagnose peptic ulcer disease.

A. "Family history and genetic factors play a significant role in the development of peptic ulcer disease." B. "Excessive consumption of fresh fruits and vegetables is a common risk factor for peptic ulcer disease." C. "Regular exercise and maintaining a healthy weight are risk factors that contribute to peptic ulcer disease." D. "Peptic ulcer disease is primarily caused by stress and emotional factors."

Correct Answer is A

Explanation

Choice A reason:

This statement is correct. Family history and genetic factors are considered significant risk factors for peptic ulcer disease. A positive family history increases the likelihood of developing the condition.

Choice B reason:

Excessive consumption of fresh fruits and vegetables is not a risk factor for peptic ulcer disease. In fact, a diet rich in fruits and vegetables is generally associated with a lower risk of developing peptic ulcers.

Choice C reason:

Regular exercise and maintaining a healthy weight are not considered risk factors for peptic ulcer disease. These factors are essential for overall health but are not directly related to ulcer development.

Choice D reason:

While stress and emotional factors may exacerbate peptic ulcer symptoms, they are not the primary cause of the condition. The primary causes are Helicobacter pylori infection and the use of nonsteroidal anti-inflammatory drugs (NSAIDs).

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A nurse is assessing a client suspected to have cholecystitis. Which of the following clinical manifestations should the nurse prioritize as a hallmark symptom of this condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with peptic ulcer disease who is experiencing severe abdominal pain and vomiting. The healthcare provider orders an endoscopy to evaluate the extent of the ulceration. Which of the following explanations should the nurse provide to the client about the procedure?

Correct Answer is D

Explanation

A client asks the nurse about the common risk factors for peptic ulcer disease. Which of the following responses should the nurse provide?

Correct Answer is A

Explanation

A client is prescribed nonsteroidal anti-inflammatory drugs (NSAIDs) for chronic pain management. The nurse discusses the potential risk of peptic ulcer development with the client. Which of the following instructions should the nurse provide to minimize the risk?

A nurse is providing education to a client recently diagnosed with peptic ulcer disease. Which of the following risk factors should the nurse emphasize as contributing to the development of the client's condition?

A nurse is caring for a client with a peptic ulcer who is prescribed histamine-2 (H2) receptor blockers. Which of the following laboratory values should the nurse monitor closely while the client is taking H2 receptor blockers?

A nurse is caring for a client with peptic ulcer disease who is prescribed sucralfate. Which of the following instructions should the nurse provide to the client about taking sucralfate?

A client with peptic ulcer disease asks the nurse about the role of Helicobacter pylori in the development of the condition. Which of the following responses should the nurse provide?

A nurse is assessing a client suspected of having acute cholecystitis. Which of the following techniques should the nurse use to elicit Boas' sign?

A nurse is caring for a client with peptic ulcer disease who is experiencing severe abdominal pain. The healthcare provider orders antacids for pain relief. The nurse should administer the antacids at which of the following times?

A nurse is providing dietary education to a client with peptic ulcer disease. Which of the following dietary modifications should the nurse recommend to the client?