The clinic nurse has been providing care for a patient with a long history of cholelithiasis
Which statement by the patient would make the nurse suspicious that the condition has progressed to cholecystitis? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "I was in terrible pain for 2 hours, but then it went away.".
2. "I'm hot and sweating, and 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.".
2,4,5
Rationale 1: The pain of cholecystitis usually lasts longer than that of biliary colic, continuing for 12 to 18 hours.
Rationale 2: Fever often is present with cholecystitis and may be accompanied by chills.
Rationale 3: The pain related to cholecystitis is not located in the lower-right quadrant.
Rationale 4: Anorexia, nausea, and vomiting are common symptoms of cholecystitis.
Rationale 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.
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