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

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A reason: A sigmoid colostomy is typically located in the left lower abdomen. This statement accurately informs the client about the expected location of their stoma.
Choice B reason: A colostomy in the sigmoid colon produces formed stool. This area of the colon is responsible for the final stages of digestion where stool becomes more solid.
Choice C reason: The stoma should be pink to red and moist, indicating healthy tissue. A purple color may indicate compromised blood flow and requires immediate medical attention.
Choice D reason: The stoma itself is not typically painful after surgery, although the area around the surgical site may be tender. Pain management focuses on the overall surgical area rather than the stoma itself.

A. Serum creatinine 6 mg/dL B. Serum potassium 4.5 mEq/L C. Hemoglobin 16 g/dL D. BUN 15 mg/dL

Correct Answer is A

Explanation

Choice A reason: A serum creatinine level of 6 mg/dL is significantly elevated and indicates impaired kidney function, which is a hallmark of acute kidney injury (AKI). Normal creatinine levels are typically around 0.6 to 1.2 mg/dL for adults, so this level suggests severe kidney impairment.
Choice B reason: A serum potassium level of 4.5 mEq/L is within the normal range (3.5-5.0 mEq/L) and does not indicate acute kidney injury. Elevated potassium can be seen in AKI but is not the most specific indicator without other abnormal values.
Choice C reason: A hemoglobin level of 16 g/dL is within the normal range for adults (approximately 13.8 to 17.2 g/dL for men and 12.1 to 15.1 g/dL for women). It does not indicate acute kidney injury.
Choice D reason: A BUN level of 15 mg/dL is within the normal range (7-20 mg/dL) and does not indicate acute kidney injury on its own. Elevated BUN in conjunction with elevated creatinine would be more indicative of AKI.

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Which subjective description of pain would the nurse expect from a patient who has cholecystitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who is preoperative for a sigmoid colostomy. Which of the following statements should the nurse include?

Correct Answer is A

Explanation

A nurse is reviewing laboratory findings for four clients. Which of the following clients has manifestations of acute kidney injury?

Correct Answer is A

Explanation

The nurse determines that a patient is experiencing oliguria based on which amount of urinary output?

A nurse is caring for a child who has acute appendicitis. Which of the following results should the nurse anticipate when reviewing this client's laboratory values?

After a patient has undergone cholecystectomy, for which immediate complication would the nurse monitor?

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Which condition causes the formation of biliary sludge?

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