Author Question: The nurse is assessing a patient with cholelithiasis. Which statements by the patient indicate a ... (Read 32 times)

ishan · **on:** Jun 25, 2018

The nurse is assessing a patient with cholelithiasis. Which statements by the patient indicate a progression to cholecystitis?

Select all that apply.
1. I've been in terrible pain for 2 hours.
2. I'm hot and sweating, then cold and shivering.
3. The pain's in the same location as when I had appendicitis.
4. I need an emesis basin; I've vomited four times.
5. My abdomen and my back both hurt.

Question 2

The nurse has instructed a patient about the possible complications of unresolved cholecystitis. Which patient statements indicate that teaching has been effective?

Select all that apply.
1. I could have infected pus stored in my gallbladder.
2. My gallbladder could rot and cause a big infection in my abdomen.
3. A hole could form a connection between my gallbladder and intestines.'
4. My intestines could be blocked with a gallstone.
5. My gallbladder could turn inside out into the bile duct.

johnpizzaz · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 2, 4, 5
Acute cholecystitis features pain that involves the entire upper-right quadrant (RUQ) and may radiate to the back, right scapula, or shoulder. Movement or deep breathing may aggravate the pain. Anorexia, nausea, and vomiting are common. Fever often is present and may be accompanied by chills. The RUQ is tender to palpation. Descriptions of feeling hot and diaphoretic, then cold and shivering, should be recognized as describing a febrile state. The pain usually lasts longer than that of biliary colic, continuing for 12 to 18 hours.

Answer to Question 2

Correct Answer: 1, 2, 3, 4
Complications of cholecystitis include empyema, a collection of infected fluid within the gallbladder. Gangrene and perforation with resulting peritonitis may occur. An abscess may form. A fistula may form into an adjacent organ (such as the duodenum, colon, or stomach). The small intestine may be obstructed by a large gallstone (gallstone ileus). The gallbladder will not turn inside out into the bile duct.