Page 1534 - Saunders Comprehensive Review For NCLEX-RN

flatulence, nausea, and vomiting. Options 4 and 6 are incorrect because they are
inconsistent with the anatomical location of the gallbladder. Option 2 (Cullen’s sign)
is associated with pancreatitis.
Test-Taking Strategy: Focus on the subject, the location and characteristics of pain
associated with cholecystitis. Recalling the anatomical location of the gallbladder
will also direct you to the correct option.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Assessment
Content Area: Adult Health: Gastrointestinal
Health Problem: Adult Health: Gastrointestinal: GI Accessory Organs
Priority Concepts: Inflammation; Pain
Reference: Ignatavicius, Workman, Rebar (2018), p. 1193.

532. Answer: 2

Rationale: Although no special diet is required to treat viral hepatitis, it is
generally recommended that clients consume a low-fat diet, as fat may be tolerated
poorly because of decreased bile production. Small, frequent meals are preferable
and may even prevent nausea. Frequently, appetite is better in the morning, so it is
easier to eat a good breakfast. An adequate fluid intake of 2500 to 3000 mL/day that
includes nutritional juices is also important.
Test-Taking Strategy: Focus on the subject, a diet for viral hepatitis. Think about
the pathophysiology associated with hepatitis and focus on the client’s complaints to
direct you to the correct option.
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Teaching and Learning
Content Area: Adult Health: Gastrointestinal
Health Problem: Adult Health: Gastrointestinal: GI Accessory Organs
Priority Concepts: Client Education; Infection
Reference: Ignatavicius, Workman, Rebar (2018), pp. 1184-1185.

533. Answer: 1

Rationale: Hepatitis causes gastrointestinal symptoms such as anorexia, nausea,
right upper quadrant discomfort, and weight loss. Fatigue and malaise are common.
Stools will be light- or clay-colored if conjugated bilirubin is unable to flow out of the
liver because of inflammation or obstruction of the bile ducts.
Test-Taking Strategy: Focus on the subject, expected assessment findings.
Recalling the function of the liver will direct you to the correct option. Remember
that fatigue and malaise are common.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Assessment
Content Area: Adult Health: Gastrointestinal
Health Problem: Adult Health: Gastrointestinal: GI Accessory Organs

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