A nurse assesses a client who has cholecystitis. Which clinical ...

[bobypop]

A nurse assesses a client who has cholecystitis. Which clinical manifestation indicates that the condition is chronic rather than acute?
 
  a. Temperature of 100.1  F (37.8  C)
  b. Positive Murphy's sign
  c. Light-colored stools
  d. Upper abdominal pain after eating

Question 2

A nurse cares for a client who is prescribed patient-controlled analgesia (PCA) after a cholecystectomy. The client states, When I wake up I am in pain. Which action should the nurse take?
 
  a. Administer intravenous morphine while the client sleeps.
  b. Encourage the client to use the PCA pump upon awakening.
  c. Contact the provider and request a different analgesic.
  d. Ask a family member to initiate the PCA pump for the client.

[Natalie4ever]

Answer to Question 1

ANS: C
Jaundice, clay-colored stools, and dark urine are more commonly seen with chronic cholecystitis. The other symptoms are seen equally with both chronic and acute cholecystitis.

Answer to Question 2

ANS: B
The nurse should encourage the client to use the PCA pump prior to napping and upon awakening. Administering additional intravenous morphine while the client sleeps places the client at risk for respiratory depression. The nurse should also evaluate dosages received compared with dosages requested and contact the provider if the dose or frequency is not adequate. Only the client should push the pain button on a PCA pump.