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

Mild, intermittent right upper quadrant abdominal pain.

Left lower quadrant abdominal pain with rebound tenderness.

Severe, colicky abdominal pain radiating to the right shoulder.

Epigastric pain worsened by fatty meals.

Answer and Explanation

The Correct Answer is C

A. Mild, intermittent right upper quadrant (RUQ) pain is more characteristic of chronic cholecystitis rather than acute cholecystitis, which typically presents with severe pain.
B. Left lower quadrant (LLQ) pain with rebound tenderness is more indicative of conditions like diverticulitis, not acute cholecystitis.
C. Severe, colicky abdominal pain radiating to the right shoulder is the most common presentation of acute cholecystitis, often caused by gallbladder inflammation and obstruction of the cystic duct. The pain is due to irritation of the phrenic nerve, which supplies both the gallbladder and right shoulder.
D. Epigastric pain worsened by fatty meals is often seen in gallbladder disease but is more characteristic of biliary colic rather than acute cholecystitis.

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Correct Answer is C

Explanation

Choice A reason:

This statement is correct and does not indicate a need for further teaching. Avoiding fatty foods is essential in managing cholecystitis as it reduces the stimulation of the gallbladder and may prevent symptom exacerbation.

Choice B reason:

This statement is correct and does not indicate a need for further teaching. Taking prescribed antibiotics is important if the cholecystitis is caused by an infection, as it helps in treating the underlying cause.

Choice C reason:

This statement is incorrect and indicates a need for further teaching. Increasing alcohol intake can worsen inflammation and exacerbate cholecystitis symptoms. Clients with cholecystitis should avoid alcohol to support their recovery.

Choice D reason:

This statement is correct and does not indicate a need for further teaching. Applying a warm compress to the abdomen can help relieve pain associated with cholecystitis and promote comfort.

A. "You can resume your regular physical activities immediately after the surgery." B. "You should wait at least 24 hours before resuming any physical activities." C. "You can start light physical activities within a few days and gradually increase as tolerated." D. "It is best to avoid physical activities for at least four weeks after the surgery."

Correct Answer is C

Explanation

Choice A reason:

Resuming physical activities immediately after surgery may put the client at risk of complications and delayed healing. It is essential to allow sufficient time for recovery before engaging in physical activities.

Choice B reason:

Waiting only 24 hours may not provide enough time for the client to recover from the surgery and avoid potential complications.

Choice C reason:

This statement is correct. The client can start light physical activities within a few days after the surgery, as long as they are tolerated well. Gradually increasing physical activities over time is important to prevent strain and ensure a safe recovery.

Choice D reason:

Avoiding physical activities for four weeks is unnecessary and may lead to physical deconditioning. Gradual reengagement in physical activities is encouraged to support the healing process.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a client diagnosed with cholecystitis. Which statement by the client indicates a need for further teaching?

Correct Answer is C

Explanation

A nurse is providing discharge instructions to a client who underwent a cholecystectomy. The client asks when they can resume their regular physical activities. Which of the following responses should the nurse provide?

Correct Answer is C

Explanation

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 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?

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

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

A nurse is caring for a client who had a cholecystostomy for cholecystitis. The client reports pain at the site of the drainage tube. Upon assessment, the nurse notes redness and swelling around the insertion site. Which of the following actions should the nurse take first?

A nurse is providing discharge instructions to a client who underwent a cholecystectomy. Which statement by the client indicates a need for further teaching?

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?