A nurse is assessing a client with suspected cholecystitis. Which symptom would the nurse expect to find during the physical examination?

Hyperactive bowel sounds.

Severe left upper quadrant pain.

Right upper quadrant tenderness.

Pain radiating to the left shoulder.

Answer and Explanation

The Correct Answer is C

Choice A reason:

This statement is incorrect. Hyperactive bowel sounds are not typically associated with cholecystitis and may be seen in conditions such as gastroenteritis or irritable bowel syndrome.

Choice B reason:

This statement is incorrect. Severe left upper quadrant pain is not characteristic of cholecystitis. Cholecystitis typically presents with right upper quadrant pain.

Choice C reason:

This statement is correct. Right upper quadrant tenderness is a hallmark symptom of cholecystitis. The inflamed gallbladder causes pain and tenderness in this area.

Choice D reason:

This statement is incorrect. Pain radiating to the left shoulder is more indicative of conditions such as splenic disorders, not cholecystitis.

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Correct Answer is A

Explanation

Choice A reason:

This statement is correct and is an appropriate preoperative intervention. Encouraging deep breathing and coughing exercises helps prevent postoperative respiratory complications such as atelectasis and pneumonia.

Choice B reason:

This statement is incorrect and is not an appropriate preoperative intervention. Placing the client in a supine position with legs elevated can increase intraabdominal pressure and worsen cholecystitis symptoms.

Choice C reason:

This statement is incorrect and is not an appropriate preoperative intervention. The client should be on a restricted diet, avoiding fatty and heavy foods, to prevent exacerbation of cholecystitis symptoms and reduce the risk of complications during surgery.

Choice D reason:

This statement is incorrect and is not an appropriate preoperative intervention. Anticoagulants are not typically administered preoperatively for cholecystectomy. Their use may increase bleeding risk during surgery and is generally avoided unless medically indicated.

A. Encourage the client to engage in strenuous physical activities to distract from the pain. B. Suggest using a heating pad on the abdomen to alleviate pain and discomfort. C. Advise the client to consume a high-fat diet to maintain gallbladder function. D. Recommend the use of over-the-counter NSAIDs for pain relief.

Correct Answer is B

Explanation

Choice A reason:

Engaging in strenuous physical activities may exacerbate the pain and discomfort in a client with chronic cholecystitis. Moderate physical activity is encouraged, but strenuous activities should be avoided.

Choice B reason:

This statement is correct. Applying a heating pad on the abdomen can help alleviate pain and discomfort associated with chronic cholecystitis. Heat therapy helps relax muscles and may ease the tension in the affected area.

Choice C reason:

Consuming a high-fat diet is not recommended for a client with chronic cholecystitis. A low-fat diet is recommended to reduce gallbladder stimulation and prevent symptoms.

Choice D reason:

While over-the-counter NSAIDs can be effective for mild pain relief, they should be used with caution in clients with cholecystitis, especially if there is any concern about gallstone-related inflammation. It is best to consult with a healthcare provider before using NSAIDs in this case.

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A nurse is assessing a client with suspected cholecystitis. Which symptom would the nurse expect to find during the physical examination?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

Explanation

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?

Correct Answer is B

Explanation

A nurse is caring for a client with suspected cholecystitis. The client complains of dark urine and pale-colored stools. Which of the following explanations should the nurse provide for these changes in bowel habits?

A client is scheduled for a hepatobiliary iminodiacetic acid (HIDA) scan to evaluate suspected cholecystitis. Which of the following explanations should the nurse provide to the client about the purpose of this test?

A nurse is assessing a client with suspected cholecystitis. Which symptom would the nurse expect to find during the physical examination?

A nurse is providing education to a client with a history of diabetes mellitus about the risk of developing cholecystitis. Which of the following explanations should the nurse include in the teaching?

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 client is diagnosed with acute cholecystitis and asks the nurse about the difference between acute and chronic cholecystitis. Which of the following responses should the nurse provide?

A client asks a nurse about the risk factors for developing cholecystitis. Which of the following factors should the nurse include in the response?