How to Answer Cholelithiasis Case Study Questions (Complete Guide)
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Original Question
CMS: GI: Cholelithiasis Case study Name: Scenario: A 60-year-old obese female is being seen in her primary care provider’s office with a possible history of gallstones and now with a possible diagnosis of cholecystitis. Her daily medications include Zestril (lisinopril) for a 5-year history of hypertension and a multivitamin. When asked about exercise and diet, the patient reports that she eats mostly fast food and spends most of the day in her recliner watching TV. The patient reports that in the past month she has had progressively worse indigestion and upper right quadrant pain that occurs a few hours after meals and is especially severe when she goes to bed. Additionally, the pain has started to radiate to the right shoulder. Using a pain intensity scale, the patient reports it to be 6/10 to 8/10. The pain subsides after a few hours, but the patient reports that her right upper quadrant always feels tender. Place an X to indicate which patient assessment findings require follow-up by the nurse at this time. Assessment Finding Assessment Finding That Requires Follow-Up Right upper quadrant tenderness Patient is obese. Dark amber colored urine Patient oral temperature = 100.4°F (38°C) Patient reports that she urinates 4-5 times per day. Rationale: 2. NGN Item Type: Extended Response Which nursing assessment findings support the patient’s probable diagnosis of cholecystitis? Select all that apply. _____ A. Jaundice _____ B. Pain is worse after meals and when lying down _____ C. BP 160/82 _____ D. Patient reports indigestion _____ E. Abdomen is soft and non-distended _____ F. Intermittent right shoulder pain _____ G. WBC count 12000/mm3 Rationale:
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