NCLEX RN Practice Question # 872

NCLEX Examination.

Practice Question # 872.


nclex examination.




  • Inflammation of the gallbladder that may occur as an acute or chronic process
  • Acute inflammation is associated with gallstones (cholelithiasis).
  • Chronic cholecystitis results when inefficient bile emptying and gallbladder muscle wall disease cause a fibrotic and contracted gallbladder.
  • Acalculous cholecystitis occurs in the absence of gallstones and is caused by bacterial invasion via the lymphatic or vascular system.

Nursing Assessment:

  • Nausea and vomiting
  • Indigestion
  • Belching
  • Flatulence
  • Epigastric pain that radiates to the right shoulder or scapula
  • Pain localized in the right upper quadrant and triggered by a high-fat or high-volume meal
  • Guarding, rigidity, and rebound tenderness
  • Mass palpated in the right upper quadrant
  • Murphy’s sign (cannot take a deep breath when the examiner’s fingers are passed below the hepatic margin because of pain)
  • Elevated temperature
  • Tachycardia
  • Signs of dehydration

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