NCLEX Examination.
Practice Question # 872.
nclex examination.
Cholecystitis
Description
- 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
