LS1 Week 8 Chapter 50 Assessment and Management of Pt with Biliary Disorders

The digestion of carbohydrates is aided by a. trypsin b. secretin c. lipase d. amylase

d. amylase

A 70 year old clients is admitted with acute pancreatitis. The nurse understands that the mortality rate associated with acute pancreatitis increases with advanced age and attributes this to which gerontologi consideration associated with the pancreas? a. Development of local complications b. Increases in the rate of pancreatic secreation c. Decreases in the physiologic function of major organs d. Increases in the bicarbonate output by the kidneys

c. Decreases in the physiologic function of major organs

Total parental nutrition (TPN) should be used cautiously in clients with pancreatitis because they a. can digest high fat foods b. are at risk for hepatic encephalopathy c. are at risk for gallbladder contraction d. cannot tolerate a high glucose concentration

d. cannot tolerate a high glucose concentration

Ursodeoxycholic acid (UDCA) has been used to dissolve small, radiolucent gallstones. Which duration of therapy is required to dissolve the stones? a. 7 months b. 1 month c Over 1 year d. 4 months

a. 7 months

Which enzyme aids in the digestion of fats? a. Lipase b. Secretin c. Amylase d. Trypsin

a. Lipase

Which term most precisely refers to the incision of the common bile duct for removal of stones? a. Choledochoduodenostomy b. Choledocholithotomy c. Cholecystostomy d. Choledochotomy

b. Choledocholithotomy

Which is a gerontological consideration associated with the pancrease? a. Increased rate of panceratic secretion b. Increased amount of fibrous material c. Increased bicarbonate output d. Increased calcium absorption

b. Increased amount of panceatic secreation

Which intervention should be included in the plan of care for a client who has undergone a cholecystectomy? a. Clamping the T-tube immediately after surgery b. Placing the client in the semi=Fowler position immediately after surgery c. Assessing the color of the sclera every shift d. Placing the client on NPO status for 2 days after surgery

c. Assessing the color of the sclera every shift

Which is a clinical manifestation of cholelithiasis? a. Epigastric distress before a meal b. Nonpalpable abdominal mass c. Clay-colored stools d. Abdominal pain in the upper left quadrant

c. Clay-colored stools

A client with acute panceatitis has been started on total nutrition (TPN). Which action should the nure perform after administration of the TPN? a. Measure abdominal girth evry shift b. Monitor for reports of nause and vomiting c. Measure blood glucose concentration every 4 to 6 hours d.Auscultate the abdomen for bowel sounds every 4 hours

c. Measure blood glucose concentration every 4 to 6 hourse

Which condition is the major cause of morbidity and mortality in clients with acute pancreatitis? a. MODS b. Shock c. Pancreatic necrosis d. Tetany

c. Pancreatic necrosis

The nurse knows that the serum amylase concentration returns to normal within which time frame? a. 12 hours b. 36 hours c. 24 hours d. 48 hours

d. 48 hours

Ursodeoxycholic (UDCA) has been used to dissolve small, radiolucent gallstones. Which duration of therapy is required to dissolve the stones? a. Over 1 year b. 4 to 6 months c. 1 to 4 months d. 6 to 12 months

d. 6 to 12 months

Which foods should be avoided following acute gallbladder inflammation? a. Cooked fruits b. Mashed potatoes c. Coffee d Cheese

d. Cheese

Which dietary modification is used for a client diagnosed with acute pancreatitis? a. Low carbohydrate diet b. High fat diet c. High protein diet d. Elimination of coffee

d. Elimination of coffee

A client comes to the ED with severe abdominal pain, nausea, vomiting. The physician plans to rule out acute pancreatitis. The nurse would expect the dx to be confirmed by an elevated resulty on which laboratory test? a. Serum potassium b. Serum bilirubin c. Serum calcium d. Serum amylase

d. Serum amylase

A nurse instructor is explaining the pathophysiology and clinical manifestation of pancreatitis to a group of nursing students. The instructor evaluates the teaching as effective when a student correctily identifies which sx as that most commonly reported by clients with pancreatitis? a. Tarry, black stook and dark urine b. Increased appetite and wt gain c. Increased and painful urination d. Severe, radiating abdominal pain

d. Severe, radiating abdominal pain

Which is the most common report by clients with pancreatitis? a. Increased and painful urination b. Increased appetite and wt gain c. Tarry, black stools and dark urine d. Severe, radiating abdominal pain

d. Severe, radiating abdominal pain