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."
The nurse would suspect which of the following? 1. Cholecystitis
2. Duodenal ulcer
3. Gastritis
4. Pancreatitis
1
Rationale 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.
Rationale 2: Duodenal ulcers cause aching, gnawing, epigastric pain. This is associated with stress and NSAID use.
Rationale 3: Gastritis causes epigastric pain. It is associated with NSAID use, alcohol abuse, stress, infection, H. pylori infection, and/ or autoimmune responses.
Rationale 4: Pancreatitis produces upper abdominal, knifelike, deep epigastric or umbilical area pain. It is associated with alcohol abuse, use of acetaminophen, and infection.
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1. 16-year-old Asian female 2. 87-year-old Caucasian male 3. 72-year-old Hispanic female 4. 14-year-old African American male
The nurse records the following general survey of a patient: "The patient is a 50-year-old Asian female attended by her husband and two daughters. Alert and oriented
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