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