Brunner and Suddarth Chapter 50 Study Guide Questions Part 2

A patient is suspected to have pancreatic carcinoma and is having diagnostic testing to determine insulin deficiency. What would the nurse determine is an indicator for insulin deficiency in this patient? (Select all that apply). A. An abnormal glucose tolerance B. Glucosuria C. Hyperglycemia D. Elevated lipase level E. Hypoglycemia

A. An abnormal glucose tolerance B. Glucosuria C. Hyperglycemia

A patient is diagnosed with mild acute pancreatitis. What does the nurse understand is characteristic of this disorder? A. Edema and inflammation B. Pleural effusion C. Sepsis D. Disseminated intravascular coagulopathy (DIC)

A. Edema and inflammation

When caring for a patient with acute pancreatitis, the nurse must consider pain relief measures. What nursing interventions could the nurse provide? (Select all that apply). A. Encouraging bed rest to decrease metabolic rate B. Assisting the patient into prone position C. Withholding oral feedings to limit the release of secretin D. Administering parenteral opioid analgesics as ordered E. Administering prophylactic antibiotics

A. Encouraging bed rest to decrease metabolic rate C. Withholding oral feedings to limit the release of secretin D. Administering parenteral opioid analgesics as ordered

When the nurse is caring for a patient with acute pancreatitis, what interventions can be provided in order to prevent atelectasis and prevent pooling of respiratory secretions? A. Frequent changes of positions B. Placing the patient in prone position C. Perform chest physiotherapy D. Suction the patient every 4 hours

A. Frequent changes of positions

The nurse is admitting a patient to the intensive care unit with a diagnosis of acute pancreatitis. What does the nurse expect was the reason the patient came to the hospital? A. Severe abdominal pain B. Fever C. Jaundice D. Mental agitation

A. Severe abdominal pain

What diagnostic study visualizes the liver and pancreas? A. Cholecystogram, cholangiogram B. Celiac axis arteriography C. Laparoscopy D. Endoscopic retrograde cholangiopancreatography E. Endoscopic ultrasound (EUS)

B. Celiac axis arteriography

A patient is admitted to the hospital with a possible common bile duct obstruction. What symptoms assessed by the nurse are indicators of this problem? (Select all that apply) A. Amber-colored urine B. Clay-colored feces C. Pruritus D. Jaundice E. Pain in the left upper abdominal quadrant

B. Clay-colored feces C. Pruritus D. Jaundice

The nurse should assess for an important early indicator of acute pancreatitis. What prolonged and elevated level would the nurse determine is an early indicator? A. Serum Calcium B. Serum lipase C. Serum bilirubin D. Serum amylase

B. Serum lipase

What is a major concern for the nurse when caring for a patient with chronic pancreatitis? A. Pain B. Weight loss C. Nausea D. Mental status changes

B. Weight loss

A patient with acute pancreatitis puts the call bell on to tell the nurse about an increase in pain. The nurse observes the patient guarding; the abdomen is board like and no bowl sounds are detected. What is a major concern for this patient? A. The patient requires more pain medication B. The patient is developing a paralytic ileus C. The patient has developed peritonitis D. The patient has developed kidney disease

C. The patient has developed peritonitis

The nurse is caring for a patient with acute pancreatitis. The patient has prescription medication for anticholinergic medication. The nurse explains that the patient will be receiving medication for what reason? A. To decrease metabolism B. To depress the central nervous system and increase the pain threshold C. To reduce gastric and pancreatic secretions D. To relieve nausea and vomiting

C. To reduce gastric and pancreatic secretions

A patient is receiving pharmacologic therapy with ursodeoxycholic acid or chenodeoxycholic acid treatment for small gallstones. The patient asks the nurse how long the therapy will take to dissolve the stones. What is the best answer the nurse can give? A. 1-2 months B. 3-5 months C. 6-8 months D. 6-12 months

D. 6-12 months

What diagnostic study visualizes the biliary structure? A. Cholecystogram, cholangiogram B. Celiac axis arteriography C. Laparoscopy D. Endoscopic retrograde cholangiopancreatography E. Endoscopic ultrasound (EUS)

D. Endoscopic retrograde cholangiopancreatography

The nurse is caring for a patient with acute pancreatitis has passed the acute stage and is now able to tolerate solid foods. What type of diet will increase caloric intake without stimulating pancreatic enzymes beyond the ability of the pancreas to respond? A. Low-sodium, high potassium, low fat diet B. High carbohydrate, high protein, low fat diet C. Low carbohydrate, high potassium diet D. High carbohydrate, low protein, low fat diet

D. High carbohydrate, low protein, low fat diet

A patient is admitted to the hospital with possible cholelithiasis. What diagnostic test of choice will the nurse prepare the patient for? A. X-Ray B. Oral cholecystography C. Cholecystography D. Ultrasonography

D. Ultrasonography

A nurse should monitor blood glucose levels for a patient diagnosed with hyperinsulinism. What blood value does the nurse recognize as inadequate to sustain normal brain function? A. 30 mg/dL B. 50 mg/dL C. 70 mg/dL D. 90 mg/dL

A. 30 mg/dL

What diagnostic study visualizes the gall bladder and bile duct? A. Cholecystogram, cholangiogram B. Celiac axis arteriography C. Laparoscopy D. Endoscopic retrograde cholangiopancreatography E. Endoscopic ultrasound (EUS)

A. Cholecystogram, cholangiogram

What diagnostic study visualizes the pancreas via endoscopy? A. Cholecystogram, cholangiogram B. Celiac axis arteriography C. Laparoscopy D. Endoscopic retrograde cholangiopancreatography E. Endoscopic ultrasound (EUS)

C. Laparoscopy

A patient is diagnosed with gallstones in the bile ducts. What laboratory results should the nurse review? A. Serum ammonia concentration of 90 mg/dL B. Serum albumin concentration of 4.0 g/dL C. Serum Bilirubin level greater than 1.0 mg/dL D. Serum globulin concentration of 2.0 g/dL

C. Serum Bilirubin level greater than 1.0 mg/dL

What is diagnostic study identifies small tumors and facilitates fine needle aspiration? A. Cholecystogram, cholangiogram B. Celiac axis arteriography C. Laparoscopy D. Endoscopic retrograde cholangiopancreatography E. Endoscopic ultrasound (EUS)

E. Endoscopic ultrasound (EUS)