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Questions and Answers
A patient with cholecystitis reports right-upper-quadrant pain that radiates to the right shoulder. Which of the following physiological mechanisms BEST explains the referred pain pattern?
A patient with cholecystitis reports right-upper-quadrant pain that radiates to the right shoulder. Which of the following physiological mechanisms BEST explains the referred pain pattern?
- Gallstones obstruct the common bile duct, causing a buildup of pressure that is referred to the shoulder.
- Pain impulses from the gallbladder converge with sensory information from the shoulder at the spinal cord level. (correct)
- Inflammation of the gallbladder directly irritates the phrenic nerve, which shares a neurological pathway with the shoulder.
- The liver's enlargement due to inflammation compresses nerves that extend to the right shoulder region.
A patient is diagnosed with cholecystitis secondary to cholelithiasis. If the gallstone obstructs the common bile duct, which of the following clinical manifestations would the nurse MOST likely assess?
A patient is diagnosed with cholecystitis secondary to cholelithiasis. If the gallstone obstructs the common bile duct, which of the following clinical manifestations would the nurse MOST likely assess?
- Dark-colored urine and clay-colored stools. (correct)
- Decreased amylase and lipase levels.
- Increased white blood cell count with normal liver enzymes.
- Severe pain in the left upper quadrant.
An obese female patient with a history of high-fat diet and a family history of gallbladder disease presents with symptoms indicative of cholecystitis. Which combination of risk factors BEST illustrates the etiological factors contributing to her condition?
An obese female patient with a history of high-fat diet and a family history of gallbladder disease presents with symptoms indicative of cholecystitis. Which combination of risk factors BEST illustrates the etiological factors contributing to her condition?
- Obesity and genetic predisposition. (correct)
- Older age and high-fat diet
- Genetic predisposition and advanced age
- High-fat diet and gender.
Following a cholecystectomy, a patient is prescribed a specific diet. Which dietary instruction should the nurse emphasize to prevent post-operative complications?
Following a cholecystectomy, a patient is prescribed a specific diet. Which dietary instruction should the nurse emphasize to prevent post-operative complications?
A patient with cholecystitis develops severe abdominal pain, fever, and signs of peritonitis. Which of the following complications should the nurse suspect and immediately report to the healthcare provider?
A patient with cholecystitis develops severe abdominal pain, fever, and signs of peritonitis. Which of the following complications should the nurse suspect and immediately report to the healthcare provider?
A patient undergoing diagnostic testing for suspected cholecystitis asks the nurse why an ultrasound was ordered. What is the nurse's BEST response?
A patient undergoing diagnostic testing for suspected cholecystitis asks the nurse why an ultrasound was ordered. What is the nurse's BEST response?
A patient with cholecystitis is being prepared for lithotripsy. The patient asks the nurse about the procedure. What is the nurse's MOST appropriate explanation?
A patient with cholecystitis is being prepared for lithotripsy. The patient asks the nurse about the procedure. What is the nurse's MOST appropriate explanation?
A nurse is providing discharge teaching to a patient who underwent a cholecystectomy. Which of the following statements indicates the patient understands the dietary modifications they need to make?
A nurse is providing discharge teaching to a patient who underwent a cholecystectomy. Which of the following statements indicates the patient understands the dietary modifications they need to make?
Flashcards
Cholecystitis
Cholecystitis
Inflammation of the gallbladder, often caused by gallstones.
Cholelithiasis
Cholelithiasis
Gallstones, which can block the bile ducts.
Cholecystitis Risk Factors
Cholecystitis Risk Factors
High-fat diet, obesity, genetics, older age, female gender.
Cholecystitis Pain
Cholecystitis Pain
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Cholecystitis Symptoms
Cholecystitis Symptoms
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Liver Involvement Symptoms
Liver Involvement Symptoms
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Diagnosing Cholecystitis
Diagnosing Cholecystitis
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Patient Teaching
Patient Teaching
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Study Notes
- Cholecystitis involves gallbladder inflammation, typically due to cholelithiasis (gallstones).
- Gallstones can obstruct the cystic or common bile duct, leading to inflammation, impaired bile flow, and cellular necrosis in the gallbladder.
Risk Factors
- Cholelithiasis is a primary risk factor.
- A high-fat diet can increase the risk.
- Obesity is a contributing factor.
- Genetics can play a role in susceptibility.
- Older age increases risk.
- Females are more prone to cholecystitis.
Signs and Symptoms
- Right-upper-quadrant pain may radiate to the right shoulder.
- Pain increases after consuming high-fat foods.
- Nausea and vomiting are common.
- Dyspepsia (indigestion) may occur.
- Gas and bloating can be present.
- Jaundice, dark-colored urine, or clay-colored stools indicate liver involvement.
Diagnostics
- Elevated white blood cells are often present.
- Elevated AST and bilirubin levels suggest liver involvement.
- Elevated amylase and lipase may indicate pancreatic involvement.
- An ultrasound is used to diagnose cholecystitis.
Treatment
- Analgesics are used for pain management.
- Lithotripsy uses shockwaves to break up gallstones.
- Cholecystectomy involves gallbladder removal.
Nursing Care
- Monitor for pancreatitis if the pancreas is involved.
- Watch for peritonitis, which can result from gallbladder perforation.
Patient Teaching
- Maintain a low-fat diet.
- Avoid gas-causing foods.
- Weight loss is recommended, if applicable.
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