MyLab M4.4 Pancreatitis

The nurse reviews the prescribed medications for a patient with chronic pancreatitis. Which medication should the nurse plan to administer with the patient's meals? ANSWER Octreotide Cimetidine Omeprazole Pancrelipase

Pancrelipase

A patient recovering from acute pancreatitis asks why alcohol should be avoided. Which statement should the nurse make to this patient? ANSWER "Alcohol causes swelling in the duodenum, which raises the pressure within the pancreas and obstructs the outflow of pancreatic enzymes from the gland." "Alcohol interacts with an enzyme, causing rapid digestion of pancreatic tissue and resulting in pancreatic necrosis." "Alcohol in the bloodstream softens and destroys the elastin of the blood vessels, allowing for fluid shifts into the abdomen." "Alcohol is quickly absorbed into the bloodstream, causing toxicity of the pancreatic cells and resulting in decreased production of pancreatic enzymes."

"Alcohol causes swelling in the duodenum, which raises the pressure within the pancreas and obstructs the outflow of pancreatic enzymes from the gland."

The nurse is preparing a teaching plan for an older patient with a history of alcohol abuse. Which statement should the nurse provide to prevent the development of pancreatitis? ANSWER "Decrease caffeine intake." "Increase intake of fluids." "Consume a diet low in fat." "Avoid foods high in sodium."

"Consume a diet low in fat."

A patient with suspected acute pancreatitis seeks medical care. Which question should the nurse ask when assessing risk factors for the patient to develop this condition? ANSWER "What does your daily diet usually consist of?" "How much alcohol do you drink each week?" "Do you take any over-the-counter medications?" "When was your last bowel movement?"

"How much alcohol do you drink each week?"

The nurse provides teaching to an older female adult patient recovering from acute pancreatitis. Which patient statement indicates that further preventative teaching is needed? ANSWER "I will maintain an adequate fluid intake." "I have discontinued the use of estrogen supplements." "I am going to abstain from the use of alcohol." "I will need to take pancreatic enzyme supplements."

"I will need to take pancreatic enzyme supplements."

A patient with chronic pancreatitis is prescribed pancrelipase. Which patient statement demonstrates an understanding of the correct way to take the medication? ANSWER "I should take these before I drink alcohol." "I will take my medication every time I eat." "I will take my medication when I wake and before bed." "I can take these with a glass of soy milk."

"I will take my medication every time I eat."

A patient with severe pancreatitis asks why antibiotics are prescribed. Which response should the nurse make to this patient? ANSWER "This will help prevent chronic pancreatitis from occurring." "It is to prevent an infection." "The antibiotic will kill the bacteria that has caused the pancreatitis." "The medication will decrease the length of your illness."

"It is to prevent an infection."

A patient with history of alcohol abuse asks how chronic pancreatitis can be cured. Which response should the nurse make to this patient? ANSWER "If you abstain from alcohol, the majority of the damage can be reversed." "There is no cure, but decreasing your alcohol intake will slow the disease process down." "Unfortunately the disease process cannot be reversed, but we can manage the symptoms." "We can get you started on a low-fat diet to improve the efficiency of your pancreas."

"Unfortunately the disease process cannot be reversed, but we can manage the symptoms."

A patient with a nasogastric tube for treatment of acute pancreatitis asks when eating can resume. Which response should the nurse make to this patient? ANSWER "When your lab work returns to normal." "You can have liquids when the tube is removed." "You can have liquids within the next 24 hours." "When the results come back from your endoscopic ultrasound."

"When your lab work returns to normal."

the nurse is reviewing the care needs for a patient with acute pancreatitis. which intervention should the nurse make a priority for this patient? - provide oral care every 2 hours - measure daily weights - monitor for malnutrition - administer analgesics as prescribed

- administer analgesics as prescribed

The nurse is providing discharge instructions to the parent of a child recovering from abdominal trauma. Which symptom of acute pancreatitis should the nurse instruct the parent to monitor in the child? ANSWER Epigastric pain Abdominal pain Confusion Back pain

Abdominal pain

The nurse is caring for a patient diagnosed with acute pancreatitis. For which systemic complication should the nurse assess the patient? ANSWER Diabetes Acute respiratory distress syndrome Congestive heart failure Malabsorption

Acute respiratory distress syndrome

The nurse is providing teaching to a patient at risk for pancreatitis. Which nutritional information should the nurse provide that is specifically related to the pancreatic enzyme lipase? ANSWER Avoid a high-fat diet Decrease intake of dietary protein Decrease intake of refined sugars Avoid a high-carbohydrate diet

Avoid a high-fat diet

The nurse is caring for a young adult with resolved acute pancreatitis. Which lifestyle modification should the nurse recommend to reduce the risk of acute pancreatitis? ANSWER Decrease caffeine intake Increase fatty foods Avoid spicy foods Avoid alcohol intake

Avoid alcohol intake

A patient with acute pancreatitis is determined to have compression of the common bile duct. Which laboratory value is elevated due to this condition? ANSWER Bilirubin Urine amylase Lipase White blood cells

Bilirubin

The nurse is assessing a patient with acute pancreatitis. Which physical assessment finding should the nurse expect? ANSWER Bradycardia Steatorrhea Left upper abdominal pain radiating to the back Cold clammy skin

Cold clammy skin

A patient with acute pancreatitis is diagnosed with gallstones in the sphincter of Oddi. Which treatment should the nurse anticipate for the patient? ANSWER Endoscopic retrograde cholangiopancreatography (ERCP) Resection of the pancreas Endoscopic transduodenal sphincterotomy Cholecystectomy

Endoscopic transduodenal sphincterotomy

The nurse plans to assess a patient for indications of pancreatitis. Which area should the nurse assess to determine if the Grey-Turner sign is positive? ANSWER Epigastric area Periumbilical area Right upper quadrant area Flank area

Flank area

A patient with acute pancreatitis experiences severe nausea, vomiting, and epigastric pain in the left upper quadrant that radiates to the back with a distended and rigid abdomen. Which heart rate and blood pressure should the nurse expect when assessing this patient? ANSWER HR: 96 beats/min; BP: 186/92 mmHg HR: 62 beats/min; BP: 90/48 mmHg HR: 104 beats/min; BP: 94/52 mmHg HR: 60 beats/min; BP: 198/104 mmHg

HR: 104 beats/min; BP: 94/52 mmHg

The nurse plans care for a pregnant patient with a history of gallstones. Which food should the nurse instruct this patient to avoid to prevent the development of pancreatitis? ANSWER Caffeinated beverages High fat Gas producing Spicy

High fat

The nurse is caring for a patient with chronic pancreatitis. Which finding should the nurse expect during the patient's pain assessment? ANSWER Intermittent, sharp pains localized to the lower abdomen Steady, dull abdominal pain that radiates to the back Intermittent pain to midabdomen and midback Severe upper abdominal pain that usually radiates to the back

Intermittent pain to midabdomen and midback

The nurse is teaching dietary information to a patient with acute pancreatitis. Which diet should the nurse recommend? ANSWER High-carbohydrate Low-fat High-protein Low-dairy products

Low-fat

A patient with severe pain is diagnosed with acute pancreatitis. Which pathophysiological condition should the nurse recall as causing this health problem? ANSWER Pancreatic enzymes are unable to be absorbed in the intestine. Infection has occurred causing pancreatic tissue necrosis. There is a decreased blood flow to the pancreas. Pancreatic enzymes have been activated to early in the pancreas.

Pancreatic enzymes have been activated to early in the pancreas.

A patient is having diagnostic testing to differentiate between chronic pancreatitis and pancreatic cancer. For which diagnostic study should the nurse prepare the patient? ANSWER Magnetic resonance cholangiopancreatography (MRCP) Percutaneous fine-needle aspiration biopsy Contrast-enhanced CT scan Endoscopic ultrasonography

Percutaneous fine-needle aspiration biopsy

A patient with chronic pancreatitis is scheduled for laparoscopic surgery. Which information should the nurse reinforce with the patient about the purpose of the surgery? ANSWER Promote drainage of the pseudocysts Promote drainage of the pancreatic enzymes Remove a gallstone Remove the fluid collection around the pancreas

Promote drainage of the pancreatic enzymes

A patient with chronic pancreatitis is still experiencing nausea and pain. Which complication of chronic pancreatitis should the nurse expect to be diagnosed through the use of an ultrasound? ANSWER An infection Strictures of the common bile duct Pseudocysts Malnutrition

Pseudocysts

The nurse is caring for a patient with acute pancreatitis. For which potential complication should the nurse closely monitor this patient? ANSWER Hypertension Acute respiratory distress syndrome (ARDS) Renal failure Malabsorption syndrome

Renal failure

A patient with suspected pancreatitis is having laboratory and diagnostic testing. Which laboratory value should the nurse monitor in this patient? ANSWER Serum creatinine and bloodurea nitrogen (BUN) levels Serum amylase and lipase levels Pancreas-associated antigen CA 19-9 Fasting glucose and HbA1c levels

Serum amylase and lipase levels

The nurse is assessing a patient with chronic pancreatitis. Which clinical manifestation should the nurse expect to assess in this patient? ANSWER Diarrhea Weight gain Steatorrhea Lower abdominal pain

Steatorrhea

The nurse suspects that a patient with acute pancreatitis is experiencing an intravascular fluid shift. Which finding should the nurse expect when assessing this patient? ANSWER Decreased urine output Bradypnea Tachycardia Pulmonary edema

Tachycardia

A patient with acute pancreatitis is suspected of having pseudocysts. For which diagnostic test should the nurse anticipate orders to prepare this patient? ANSWER Ultrasound Endoscopic retrograde cholangiopancreatography (ERCP) Drainage of pancreatic enzymes Surgery

Ultrasound

A child who has been vomiting for several days has abdominal distention and pain upon palpation. Which other physical assessment finding should the nurse expect to assess in this patient? ANSWER Yellow sclera Hypotension Anorexia Tachypnea

Yellow sclera