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Multiple Choice
When assessing a client for acute cholecystitis, which sign would you evaluate for?
A
Kernig's sign
B
Murphy's sign
C
McBurney's point tenderness
D
Brudzinski's sign
Verified step by step guidance
1
Understand the condition: Acute cholecystitis is inflammation of the gallbladder, often due to gallstones blocking the cystic duct.
Identify the relevant signs: Murphy's sign is specifically associated with gallbladder inflammation. It involves pain upon palpation of the right upper quadrant during inhalation.
Differentiate the signs: Kernig's sign and Brudzinski's sign are associated with meningitis, while McBurney's point tenderness is related to appendicitis.
Evaluate Murphy's sign: To assess for Murphy's sign, ask the client to breathe in deeply while you palpate the right upper quadrant. Pain or discomfort during this maneuver suggests acute cholecystitis.
Conclude the assessment: If Murphy's sign is positive, it indicates potential acute cholecystitis, warranting further investigation or intervention.