A nurse is assessing a client with cholelithiasis. The client complains of pain in the right upper abdomen that radiates to the right shoulder. Which term should the nurse use to describe this pain?

Referred pain.

Colicky pain.

Sharp pain.

Steady pain.

Answer and Explanation

The Correct Answer is A

Choice A reason:

This statement is correct. The pain in the right upper abdomen that radiates to the right shoulder is characteristic of referred pain, which occurs when pain is perceived in an area away from the actual source of the pain.

Choice B reason:

Colicky pain is intermittent, severe pain that comes and goes and is not specific to the description given by the client.

Choice C reason:

Sharp pain may be used to describe certain types of pain, but it does not capture the radiation to the right shoulder as seen in referred pain.

Choice D reason:

Steady pain may not adequately describe the intermittent nature of the pain experienced by the client.

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Correct Answer is C

Explanation

Choice A reason:

Offering antacid medication may provide relief for indigestion, but it will not address the severe pain and other symptoms associated with cholelithiasis.

Choice B reason:

Placing the client in a supine position may not be the most comfortable position for someone experiencing severe pain from cholelithiasis. The client may prefer to find a position that eases the pain.

Choice C reason:

This statement is correct. Administering prescribed pain medication should be the first action to address the client's severe pain and discomfort related to cholelithiasis.

Choice D reason:

Encouraging the client to rest is important, but it is not the priority action in managing the client's severe pain and other symptoms.

A. A 25-year-old male with a family history of gallbladder disease. B. A 40-year-old female who follows a low-fat diet and exercises regularly. C. A 50-year-old male with a history of diabetes and hypertension. D. A 60-year-old female who underwent bariatric surgery for weight loss.

Correct Answer is A

Explanation

Choice A reason:

This statement is correct. A family history of gallbladder disease is a significant risk factor for cholelithiasis, and the 25-year-old male is at the highest risk among the options provided.

Choice B reason:

A low-fat diet and regular exercise may help reduce the risk of developing cholelithiasis, so the 40-year-old female is at a lower risk compared to the other options.

Choice C reason:

A history of diabetes and hypertension may increase the risk of certain health problems, but they are not the primary risk factors for cholelithiasis in this context.

Choice D reason:

Undergoing bariatric surgery for weight loss may affect the risk of developing gallstones, but it is not the highest risk factor among the options provided.

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A nurse is assessing a client with cholelithiasis. The client complains of pain in the right upper abdomen that radiates to the right shoulder. Which term should the nurse use to describe this pain?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is experiencing severe pain in the right upper abdomen, radiating to the back and right shoulder, after eating a high-fat meal. The nurse suspects cholelithiasis. Which action should the nurse take first to assist the client?

Correct Answer is C

Explanation

A nurse is conducting a health screening at a community event. Which client is at the highest risk of developing cholelithiasis based on the risk factors?

Correct Answer is A

Explanation

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