A Patient Reports "Right Shoulder Pain That Comes and Goes

question 7

Multiple Choice

A patient reports "right shoulder pain that comes and goes" as the chief complaint. During the physical examination, the patient asks why the upper right abdomen is being examined for shoulder pain. What is the appropriate response from the nurse?

• A) "A comprehensive examination is required to determine the cause of your pain."
• B) "There may be associated problems that have not produced any symptoms yet that we want to identify."
• C) "Yes, this can be confusing, but if you will be patient I'm sure we can find something to help you."
• D) "It does seem odd, but the gallbladder doesn't have pain receptors of its own, so the pain shows up in the shoulder."

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Definitions:

Detailed Information

Information that is elaborated upon or provided in depth, covering all pertinent aspects of a topic.

Delusion

A false belief held with strong conviction despite superior evidence to the contrary, often symptomatic of mental conditions like schizophrenia.

Hypervigilant

An enhanced state of sensory sensitivity accompanied by an exaggerated intensity of behaviors whose purpose is to detect threats.

Echolalia

The involuntary and repetitive imitation of the words or sounds made by another person, associated with autism and other neurological conditions.