The nurse would assess the client experiencing an acute episode of cholecystitis for pain that is located in the right
A. Upper quadrant and radiates to the left scapula and shoulder.
B. Upper quadrant and radiates to the right scapula and shoulder.
C. Lower quadrant and radiates to the umbilicus.
D. Lower quadrant and radiates to the back.
Correct Answer: B. Upper quadrant and radiates to the right scapula and shoulder
During an acute “gallbladder attack,” the client may complain of severe right upper quadrant pain that radiates to the right scapula and shoulder. This is governed by the pattern on dermatomes in the body. Acute cholecystitis is inflammation of the gallbladder that occurs due to occlusion of the cystic duct or impaired emptying of the gallbladder. Often this impaired emptying is due to stones or biliary sludge.
Option A: When cystic duct blockage is caused by a stone, it is called acute calculous cholecystitis. It is important to know, one can have pain due to temporary obstruction by gallstones, and that is called biliary colic. The diagnosis of biliary colic is upgraded to acute calculous cholecystitis if the pain does not resolve in six hours. If no stone is identified, it is called acute acalculous cholecystitis.
Option C: Cases of chronic cholecystitis present with progressing right upper quadrant abdominal pain with bloating, food intolerances (especially greasy and spicy foods), increased gas, nausea, and vomiting. Pain in the mid-back or shoulder may also occur. This pain could be present for years until diagnosis.
Option D: The pathophysiologic mechanism of acute cholecystitis is blockage of the cystic duct. Cholecystitis is a condition best treated with surgery; however, it can be treated conservatively if necessary. This condition can be associated with or without the presence of gallstones and can also be classified as acute or chronic.
No comments:
Post a Comment