The nurse is assessing a client with reports of right upper quadrant pain that radiates toward the right upper portion of the back
The client states, "This has been happening more often after I eat rich, high-fat foods." Which disorder does the nurse suspect based on these findings?
1. Cholecystitis.
2. Duodenal ulcer.
3. Gastritis.
4. Pancreatitis.
Correct Answer: 1
Right upper quadrant pain that radiates to the right scapula is characteristic of cholecystitis. The pain usually occurs after the client eats a fatty meal. Duodenal ulcers cause aching, gnawing, and epigastric pain, and are associated with stress and NSAID use. Gastritis causes epigastric pain, and is associated with NSAID use, alcohol abuse, stress, infection, H. pylori infection, and autoimmune responses. Pancreatitis produces upper abdominal, knifelike, deep epigastric or umbilical area pain, and is associated with alcohol abuse, use of acetaminophen, and infection.
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