In evaluating a client for the presence of gallbladder disease, the nurse would recognize that the client's statement most suggestive of this problem is
a. "I am having difficulty swallowing."
b. "I get a sharp, stabbing pain every time I take a deep breath or cough."
c. "I have a terrible pain in my stomach; it is so bad I can feel it in my shoulder."
d. "I have a very strong craving for fatty foods like bacon and eggs fried in butter."
C
The most specific and characteristic manifestation of gallstone disease is pain, or biliary colic, which is caused by spasm of the biliary ducts as they try to dislodge stones. This pain usually follows the temporary obstruction of the gallbladder outlet. Characteristically, the pain starts in the upper midline area, and it may radiate around to the back and right shoulder blade, although some clients report that it passes straight through to the back and substernal areas.
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Select the situation that describes a case in which the caregiver is at highest risk for caregiver stress, a risk for elder abuse
A) an adult employed son who lives with his mother and receives assistance daily from two other siblings B) an adult daughter who lives with her father, is active in her church, and has a hired nursing aide stay at night to care for her father while she sleeps C) an adult daughter who is an only child, has her mother living in her home, and uses respite care 2 days per week D) an adult son who is a recovering alcoholic, lives with his mother, and depends on her retirement pension for living expenses
Lung scans need the use of radioisotopes and a scanning machine. Before the perfusion scan, nurses must assess the client for which of the following?
A) Bleeding B) Iodine allergy C) Dysrhythmias D) Inflammation
What clinical manifestation(s) should the nurse expect to see as shock progresses in a child and becomes decompensated shock?
a. Thirst b. Irritability c. Apprehension d. Confusion and somnolence
Which part of the hand is best for palpating lymph nodes?
A) The dorsal aspect of the hand B) The fingerpads C) The ball of the hand D) The palm of the hand