A client with cholecystitis has pain in the right shoulder area and asks, "What is happening to me? What did I do to my shoulder?" What is the nurse's best response?
a. "You are weak from staying in bed."
b. "Does your other arm hurt too?"
c. "Sometimes pain from a certain organ is referred elsewhere in the body."
d. "I am going to hold your medication until we can determine what is happening."
C
Many types of visceral pain can be felt in body areas other than the originating site. This is known as referred pain. Pain originating in the gallbladder can be referred to the right posterior shoulder. The client should be reassured that this is normal and should be medicated appro-priately.
You might also like to view...
After teaching a group of nursing students about cholinergic drugs, the instructor determines a need for additional teaching when the students identify which drug as being administered orally?
A) Ambenonium B) Bethanechol C) Pyridostigmine D) Edrophonium
The nurse is preparing to inflate a pulmonary artery catheter (PAC) balloon while it is located in the pulmonary artery. What assessment is possible from this action?
1. When inflated, the catheter indirectly measures pressures in the left side of the heart. 2. When inflated, the catheter measures the pressure in the right side of the heart. 3. When inflated, the catheter indirectly measures the cardiac index. 4. When inflated, the catheter measures cardiac output through thermodilution.
A client presents to the emergency department (ED) complaining of poor appetite, jaundice, low-grade fever, and pain in the right upper quadrant. The nurse is performing an admission assessment. The nurse recognizes these symptoms as:
1. Similar for all of the hepatitis viruses. 2. Hepatitis A. 3. Hepatitis B. 4. Hepatitis C.
A 40-year-old severely obese female patient with type 2 diabetes wants to lose weight. After learning about the surgical procedures, she thinks a combination of restrictive and malabsorptive surgery would be best. Which procedure should the nurse teach her about?
a. Lipectomy b. Roux-en-Y gastric bypass c. Adjustable gastric banding d. Vertical sleeve gastrectomy