A nurse is collecting data from a client who has acute cholecystitis. Which of the following findings should the nurse expect?
Pain in the right upper abdomen
Discomfort with urination
Pain radiating to the jaw
Increased abdominal discomfort prior to meals
The Correct Answer is A
A. Pain in the right upper abdomen is correct. Acute cholecystitis is the inflammation of the gallbladder, typically caused by gallstones blocking bile flow. This condition leads to severe right upper quadrant (RUQ) pain, often triggered by fatty meals and sometimes accompanied by nausea, vomiting, and fever.
B. Discomfort with urination is incorrect. Urinary discomfort is not associated with cholecystitis. This symptom is more indicative of urinary tract infections (UTIs) or kidney stones.
C. Pain radiating to the jaw is incorrect. Jaw pain is more characteristic of cardiac conditions, such as myocardial infarction (MI), rather than gallbladder inflammation.
D. Increased abdominal discomfort prior to meals is incorrect. Clients with cholecystitis typically experience more pain after meals, especially fatty foods, due to gallbladder contractions attempting to release bile.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "I should keep my baby rear-facing in the car seat until she is 2 years old.": This is correct. The American Academy of Pediatrics recommends that infants and toddlers remain in a rear-facing car seat until they are at least 2 years old or until they reach the height and weight limits specified by the car seat manufacturer. Rear-facing provides the best protection for the baby's head, neck, and spine in the event of an accident.
B. "I should position the car seat's retainer clip at the level of my baby's belly button.": This is incorrect. The retainer clip should be positioned at armpit level, not at the belly button. This ensures the harness fits snugly and securely around the baby.
C. "I should enable the airbag when my baby is in the front seat of the car.": This is incorrect. Airbags should never be enabled when a baby is sitting in the front seat, as they can cause injury in the event of a collision. The baby should always be seated in the back seat of the car, as it is the safest location.
D. "I should place my baby in the car seat at a 90-degree angle.": This is incorrect. The car seat should be reclined at an angle of approximately 45 degrees to ensure the baby’s head does not fall forward, which could compromise breathing. A 90-degree angle is too upright and may be unsafe for a newborn.
Correct Answer is A
Explanation
A. Chicken sandwich is correct. In kosher dietary practices, poultry such as chicken is allowed, as long as it is prepared according to kosher guidelines. It is permissible for a client who follows kosher dietary practices to have a chicken sandwich, provided the bread and other ingredients are also kosher.
B. Cheeseburger is incorrect. Kosher dietary laws prohibit mixing meat and dairy. A cheeseburger would violate this rule because it contains both meat (beef) and dairy (cheese..
C. Shrimp and french fries is incorrect. Shellfish, including shrimp, is not allowed in a kosher diet. Kosher dietary practices prohibit eating shellfish and other non-kosher seafood.
D. Bacon and eggs is incorrect. Pork products, including bacon, are strictly forbidden in kosher dietary practices, so this would not be an appropriate choice for a client following kosher dietary laws.
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