A patient who reports a severe, steady pain in the epigastric area, nausea, and vomiting states, "This happens every time I eat barbecued ribs." What should the nurse consider as the most likely cause of the patient's symptoms?
1. intolerance to pork
2. obesity
3. cholelithiasis
4. pancreatitis
Correct Answer: 3
Symptoms of cholelithiasis (gallstone) include severe, steady pain in the epigastric region or upper-right quadrant of the abdomen. The pain may radiate to the back, right scapula, or shoulder. The pain often begins suddenly following a meal, and may last as long as 5 hours. It often is accompanied by nausea and vomiting. These symptoms are not related to porcine intolerance, obesity, or pancreatitis.
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