A nurse is caring for a client diagnosed with acute cholecystitis. Which of the following symptoms should the nurse prioritize as a potential sign of a severe complication?

Nausea and vomiting after meals

Mild right upper quadrant pain

Referred pain to the left shoulder

High fever and chills

Answer and Explanation

The Correct Answer is D

Choice A reason:

Nausea and vomiting after meals are common symptoms in acute cholecystitis, but they do not indicate a severe complication. They are typical manifestations of gallbladder inflammation.

Choice B reason:

Mild right upper quadrant pain may be present in acute cholecystitis, but it does not suggest a severe complication.

Choice C reason:

Referred pain to the left shoulder (Kehr's sign) is a classic symptom of splenic rupture or other conditions involving the spleen, not directly related to cholecystitis.

Choice D reason:

This statement is correct. High fever and chills may indicate the presence of infection and sepsis, which can be severe complications of acute cholecystitis.

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Correct Answer is C

Explanation

Choice A reason:

Elevated white blood cell count may indicate inflammation or infection, but it is not directly related to jaundice and dark-colored urine, which are characteristic of increased bilirubin levels.

Choice B reason:

Impaired blood clotting is not directly related to jaundice and dark-colored urine. It may be a concern in liver disease but does not explain the specific manifestations mentioned in the question.

Choice C reason:

This statement is correct. Jaundice and dark-colored urine are indicative of increased bilirubin levels in the blood, which can occur in cholecystitis due to obstruction of the bile ducts.

Choice D reason:

Elevated serum amylase is more associated with pancreatitis rather than cholecystitis. It is not directly related to the clinical manifestations described.

A. "The CT scan uses a magnetic field, so there is no radiation exposure." B. "The amount of radiation used in a CT scan is very low and safe." C. "There is no need to worry about radiation as the scan is done quickly." D. "CT scans do not use radiation; they use sound waves for imaging."

Correct Answer is B

Explanation

Choice A reason:

CT scans use X-rays, not magnetic fields, to create detailed cross-sectional images of the body. They involve radiation exposure.

Choice B reason:

This statement is correct. While CT scans use X-rays, the amount of radiation used in modern CT machines is relatively low and considered safe. The benefits of the diagnostic information obtained from the scan usually outweigh the risks associated with the small amount of radiation exposure.

Choice C reason:

The speed of the scan does not impact the radiation exposure. The amount of radiation used in a CT scan remains the same regardless of the scan duration.

Choice D reason:

CT scans use X-rays, not sound waves. Sound waves are used in ultrasound imaging, not in CT scans.

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A nurse is caring for a client diagnosed with acute cholecystitis. Which of the following symptoms should the nurse prioritize as a potential sign of a severe complication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with suspected cholecystitis presents with jaundice and dark-colored urine. Which of the following clinical manifestations should the nurse associate with these findings?

Correct Answer is C

Explanation

A client is undergoing an abdominal computed tomography (CT) scan to evaluate suspected cholecystitis. The client expresses concern about potential radiation exposure. Which of the following responses should the nurse provide?

Correct Answer is B

Explanation

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