Which subjective description of pain would the nurse expect from a patient who has cholecystitis?
Epigastric-area pain that intensifies when the patient is lying down
Right upper-quadrant pain radiating to the shoulder and scapula
Right lower-quadrant pain with rebound tenderness
Left-flank pain with intermittent exacerbations
The Correct Answer is B
Choice A reason: Epigastric-area pain that intensifies when lying down is more commonly associated with conditions like gastroesophageal reflux disease (GERD) or pancreatitis, rather than cholecystitis.
Choice B reason: Right upper-quadrant pain radiating to the shoulder and scapula is a classic symptom of cholecystitis. This pain is due to inflammation of the gallbladder, often aggravated by fatty meals, and may radiate to the back and shoulder.
Choice C reason: Right lower-quadrant pain with rebound tenderness is typically associated with appendicitis rather than cholecystitis. Cholecystitis primarily affects the right upper quadrant.
Choice D reason: Left-flank pain with intermittent exacerbations is not characteristic of cholecystitis. It might indicate conditions related to the left kidney or other left-sided abdominal issues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Epigastric pain during swallowing can occur in esophageal cancer but is not the most common or specific symptom. It could be related to other conditions such as gastroesophageal reflux disease (GERD) or peptic ulcers.
Choice B reason: Regurgitation can be a symptom but is more commonly associated with GERD or other less serious esophageal conditions rather than being a primary indication of esophageal cancer.
Choice C reason: Progressive dysphagia, or difficulty swallowing that worsens over time, is the most common and specific symptom of esophageal cancer. It occurs as the tumor grows and gradually obstructs the esophagus, making swallowing increasingly difficult.
Choice D reason: Weight loss can occur in esophageal cancer but is not as specific as progressive dysphagia. It may be a secondary symptom resulting from difficulty swallowing and reduced food intake.
Correct Answer is ["B","E"]
Explanation
Choice A reason: Chewing gum does not increase the risk of oral cancer. It is generally considered safe and may even promote oral health by stimulating saliva production.
Choice B reason: Chewing tobacco is a significant risk factor for oral cancer. The harmful chemicals in tobacco can damage the cells in the mouth and lead to cancerous changes.
Choice C reason: Drinking carbonated beverages is not linked to an increased risk of oral cancer. However, excessive consumption might contribute to other health issues such as dental erosion and gastrointestinal discomfort.
Choice D reason: Excessive consumption of red meats is more closely associated with an increased risk of colorectal cancer rather than oral cancer. While a balanced diet is important, red meat is not a primary risk factor for oral cancer.
Choice E reason: Excessive drinking of alcohol is a known risk factor for oral cancer. Alcohol can irritate the cells in the mouth and increase the likelihood of developing cancerous lesions, especially when combined with tobacco use.
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