Clinical Manifestations of Gallbladder Disease

a

A patient with gallbladder disease may experience pain in which adbominal quadrant? a. Upper right quad b. Upper left quad c. Lower right quad d. Lower left quad

To elicit rebound tenderness, the primary health care provider pushes his or her fingers deeply and steadily into the patient's abdomen and then quickly releases the pressure. Pain that results from the rebound of the palpated tissue may indicate peritoneal inflammation.

A patient with gallbladder disease may have rebound tenderness. How would this be assessed?

Right shoulder or scapula

Abdominal pain from gallbladder disease can radiate to where?

a c d e

Biliary colic may be so severe that it occurs with which signs/symptoms? Select all that apply a. Tachycardia b. Bradycardia c. Pallor d. Diaphoresis e. Prostration (extreme exhaustion).

Abdominal pain

Patients with cholecystitis have _____________ pain , although symptoms vary in intensity and frequency.

Biliary colic

Severe pain from gallbladder disease is called what?

Obstruction of cystic duct of gallbladder or Movement of 1 or more gallstones

Severe pain from gallbladder disease is commonly from what?

gallbladder attacks

The usual pattern is episodic. Patients often refer to acute pain episodes as "___________ __________."

False, older patient

True or False The younger patient may become acutely confused (delirium) as the first symptom of gallbladder disease.

Hypoxia Delirium Anxiety

What are NOT three physical findings of gallbladder disease?

ULQ epigastrium tenderness Ascities Constipation

What are NOT three physical findings of gallbladder disease?

a c e

What are signs/symptoms that total obstruction has occurred? Select all that apply a. Dark amber urine b. Yellow clear urine c. Clay-colored stools d. Malena e. Pruitis

b c d

What are signs/symptoms that total obstruction has occurred? Select all that apply a. Intolerance to low fat foods b. Intolerance to fatty foods c. Bleeding tendencies d. Steatorrhea-fat in the feces; frothy, foul-smelling fecal matter e. Hypoxia

Fever, chills Jaundice Pain, tenderness RUQ Referred to right shoulder, scapula

What are three physical findings of gallbladder disease?

Nausea/vomiting Restlessness Diaphoresis

What are three physical findings of gallbladder disease?

RUQ or epigastrium tenderness Abdominal rigidity Indigestion

What are three physical findings of gallbladder disease?

b c d e

What should the nurse do if a patient is experiencing biliary colic? Select all that apply a. Assess for heart attack b. Assess for shock caused c. Notify the health care provider or Rapid Response Team d. Stay with the patient e. Keep the head of the bed flat if shock occurs.

b c d e

Which diets put a patient at HIGH risk for developing gallstones? Select all that apply a. High sodium diets b. High Calorie diets c. High fat diets d. Low fiber diets e. Low-fat diets in women