Chapter 50: Assessment and Management of patients with biliary disorders

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?

30 mg/dL

A client is evaluated for severe pain in the right upper abdominal quadrant, which is accompanied by nausea and vomiting. The physician diagnoses acute cholecystitis and cholelithiasis. For this client, which nursing diagnosis takes top priority?

Acute pain related to biliary spasms

Total parental nutrition (TPN) should be used cautiously in patients with pancreatitis because they?

Cannot tolerate a high glucose concentration

The nurse is caring for a client with a biliary disorder who has an elevated amylase level. If this elevation correlated to dysfunction, which body process does the nurse recognize may be impaired?

Carbohydrate digestion

Increased appetite and thirst may indicate that a client with chronic pancreatitis has developed diabetes Mellitus. Which of the following explains the cause of this secondary diabetes?

Dysfunction of the pancreatic islet cells

Which enzyme aids in the digestion of fats?

Lipase

A nurse is providing dietary instructions to a client with a history of pancreatitis. Which instruction is correct?

Maintain a high-carbohydrate, low-fat diet

A client with acute pancreatitis has been started on total parenteral nutrition (TPN). Which action should the nurse perform after administration of the TPN?

Measure blood glucose concentration every 4 to 6 hours

The nurse admits a woman who is 8 weeks postpartum. The client presents with reports of severe right upper quadrant pain that radiates to her back. She states that she just finished eating Thanksgiving dinner that evening. The nurse suspects gallbladder disease. Statistics show that incidence of gallbladder disease is greater for women who are which of the following? Select all that apply.

Multiparous and obese

The nurse is caring for a patient with acute pancreatitis. The patient has an order for an anticholinergic medication. The nurse explains that the patient will be receiving that medication for what reason?

To reduce gastric and pancreatic secretions