The nurse is assessing a patient with cholelithiasis. Which statements by the patient indicate a progression to cholecystitis?
Select all that apply.
1. "I've been in terrible pain for 2 hours."
2. "I'm hot and sweating, then cold and shivering."
3. "The pain's in the same location as when I had appendicitis."
4. "I need an emesis basin; I've vomited four times."
5. "My abdomen and my back both hurt."
Correct Answer: 2, 4, 5
Acute cholecystitis features pain that involves the entire upper-right quadrant (RUQ) and may radiate to the back, right scapula, or shoulder. Movement or deep breathing may aggravate the pain. Anorexia, nausea, and vomiting are common. Fever often is present and may be accompanied by chills. The RUQ is tender to palpation. Descriptions of feeling hot and diaphoretic, then cold and shivering, should be recognized as describing a febrile state. The pain usually lasts longer than that of biliary colic, continuing for 12 to 18 hours.
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