Common Concept - Ch. 36: Assessment and Management of Patients with Biliary Disorders Workbook
The endocrine secretions of the pancreas are:
*insulin *glucagon *and somatostatin
Statistics show that there is a greater incidence of gallbladder disease for women who are:
*multiparous *obese *older than 40 years of age
A nurse should monitor blood glucose levels for a patient who is diagnosed as having hyperinsulinism. A value inadequate to sustain normal brain function is:
30 mg/dL
The capacity of the gallbladder for bile storage is
30 to 50 mL
What is the 5 year survival rate for pancreatic cancer?
5%
The nurse knows that a patient with low blood sugar would have a blood glucose level of:
55 to 75 mg/dL
Pharmacologic therapy is frequently used to dissolve small gallstones. It takes about how many months of medication with UDCA or CDCA for stones to dissolve?
6 to 12 months
What percentage of patients have advanced pancreatic cancer when it is first detected?
80 to 85%
Chronic pancreatic, commonly described as autodigestion of the pancreas, is often not detected until what percentage of the exocrine and endocrine tissue is destroyed?
80 to 90 %
Clinical manifestations of common bile duct obstruction include all of the following except:
amber-colored urine
The most serious complication after a laparoscopic cholecystectomy is
bile duct injury
The primary cause of acute cholecystitis is
calculous cholecystitis
A patient with calculi in the gallbladder is said to have:
cholelithiasis
The risk for pancreatic cancer is directly proportional to
cigarette smoking
An action not associated with insulin is the:
conversion of glycogen to glucose in the liver
Mild acute pancreatitis is characterized by
edema and inflammation
Bile is stored in the:
gallbladder
Digestive enzymes are secreted by the pancreas; ________ aids in the digestion of carbohydrates, ___________ aids protein digestion, and ___________ lipase aid the digestion of fats.
*amylase *trypsin *lipase
With pancreatic carcinoma, insulin deficiency is suspected when the patient evidence
*an abnormal glucose tolerance *glucosuria *Hyperglycemia
Clinical manifestations associated with a tumor of the head of the pancreas include:
*clay-colored stools *dark urine *jaundice
Nursing measures for pain relief for acute pancreatitis include:
*encouraging bed rest to decrease the metabolic rate *teaching the patient about the correlation between alcohol intake and pain *withholding oral feelings to limit the release of secretin
The obstruction of bile flow due to cholelithiasis can interfere with the absorption of:
Vitamin A
A patient is diagnosed with gallstones in the bile ducts. The nurse knows to review the results of blood work for a:
serum bilirubin level greater than 1.0 mg/dL
The nurse should assesses for an important early indicator of acute pancreatitis, which is a prolonged and elevated level of:
serum lipase
A major symptom of pancreatitis that bring the patient to medical care is:
severe abdominal pain
The diagnostic procedure of choice for cholelithiasis is:
ultrasonography
Zollinger-Ellison tumors are associated with hypersecretion of:
gastric acid
A major cause of morbidity and mortality in patient with acute pancreatitis is
pancreatic neurosis
The major stimulus for increased bicarbornate secretion from the pancreas is:
secretin