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concept of nursing 1
Pancreatitis
| Question | Answer |
|---|---|
| The caregiver of a patient with suspected pancreatitis asks the nurse why both serum amylase and serum lipase tests are being done if they are both enzymes related to the pancreas. | -- |
| . Which explanation by the nurse accurately explains why both are being done? | "The serum amylase can be high due to other causes, so we also run the serum lipase." |
| Which statement best describes the pathophysiology of acute pancreatitis? | Inflammation activates enzymes, resulting in autodigestion within the pancreas. |
| The nurse is evaluating a patient in the emergency department for suspected pancreatitis. Which factors, if present in the patient history or current assessment, would increase the risk for pancreatitis? | -History of gallstones -Presence of biliary sludge -African American ethnicity -30 pack year history of smoking |
| Following teaching, the nurse is evaluating the patient’s understanding of the need for both an endoscopic retrograde cholangiopancreatography (ERCP), plus endoscopic sphincterotomy, and a laparoscopic cholecystectomy. | -- |
| Which statement by the patient indicates the need for further teaching? | “A laparoscopic cholecystectomy visualizes the colon, and the ERCP removes the gallstones.” |
| The nurse is reviewing the current prescriptions for a patient with pancreatitis. Following a recent assessment, the patient was found to have decreased bowel sounds and abdominal distention. | -- |
| Which current medication order would the nurse question for this patient? | Dicyclomine |
| The nurse is awaiting orders for a patient being admitted from the emergency room for conservative therapy for pancreatitis. The nurse would include which goals in the plan of care for the newly admitted patient? | -Patient will remain free of infection. -Patient will verbalize understanding of NPO status. -Fluid and electrolyte levels are within normal limits. -Patient will rate pain at less than 2 in a 24-hour period. |
| Which assessment finding would demonstrate the efficacy of pancreatic enzyme replacement? | No evidence of steatorrhea |
| A patient presents to the primary care provider one week after hospital discharge for an episode of acute pancreatitis. The patient reports a fever that has lasted for the last few days and stools have had a “really foul smell” and “appear greasy.” | -- |
| A finger stick for blood glucose indicates a glucose level of 220 mg/dL. Which does the nurse suspect may be occurring? | Further pancreatic destruction |
| The nurse is caring for a patient with diagnosed acute pancreatitis and notes a recent elevation in temperature, a respiratory rate of 28 breaths/minute, and a few crackles in the bases of the lungs. | -- |
| . Which actions by the nurse would best address the patient’s current situation? | -Obtain O2 saturation level -Elevate the bed to semi-Fowler's position -Instruct patient on incentive spirometry use |
Created by:
Lightnning54
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