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Cholecystitis — NCLEX Cheat Sheet
RUQ pain + Murphy's sign
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Use this quick-reference guide to spot, treat, and prevent Cholecystitis on the NCLEX. Keep it handy during review and on exam day!
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Causes
Why it happens- Gallstones block cystic duct
- Fat, female, forty, fertile
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Signs
What to look for- RUQ pain → right shoulder
- Murphy's sign +, worse w/ fatty
- N/V, fever, clay stool, jaundice
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Do
Nursing actions- NPO, IV fluids, pain meds
- Lap cholecystectomy = definitive
- Low-fat diet, small meals
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Report
Notify / act now- T-tube >500 mL/day or no drainage
- Fever, ↑ pain = perforation
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Quick Tip
Right upper quadrant pain that may radiate to the right shoulder or scapula, often after a high-fat meal.
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