Chapter 50: Assessment and Management of Patients With Biliary Disorders 3

Skipping meals out of fear of painful attacks

A client who has been having recurrent attacks of severe abdominal pain over the past few months informs the physician about a 25-pound weight loss in the past year. The nurse attributes which factor as the most likely cause of this weight loss?

High-carbohydrate, low-protein, low-fat diet

The patient admitted with acute pancreatitis has passed the acute stage and is now able to tolerate solid foods. What type of diet will increase caloric intake without stimulating pancreatic enzymes beyond the ability of the pancreas to respond?

Amber-colored urine

Clinical manifestations of common bile duct obstruction include all of the following except:

Place the client in semi-Fowler's position.

The nurse cares for a client with cholecystitis with severe biliary colic symptoms. Which nursing intervention best promotes adequate respirations in a client with these symptoms?

Carbohydrate digestion

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

48 hours

The nurse knows that the serum amylase concentration returns to normal within which time frame?

Reserving an antecubital site for a peripherally inserted central catheter (PICC)

A client with pancreatitis is admitted to the medical intensive care unit. Which nursing intervention is most appropriate?

Withholding all oral intake, as ordered, to decrease pancreatic secretions

A nurse is caring for a client admitted with acute pancreatitis. Which nursing action is mostappropriate for a client with this diagnosis?

Maintaining normal respiratory function

A nurse is planning care for a client with acute pancreatitis. Which client outcome does the nurse assign as the highest priority?

Increase respiratory effectiveness.

A nurse is providing preoperative teaching to a client undergoing a cholecystectomy. Which topic should the nurse include in her teaching plan?

Deficient fluid volume

What is the most appropriate nursing diagnosis for the client with acute pancreatitis?

Increased amount of fibrous material

Which is a gerontological consideration associated with the pancreas?

Alcohol consumption and smoking

A nurse is teaching a client and the client's family about chronic pancreatitis. Which are the majorcauses of chronic pancreatitis?

6 to 12 months

A patient is receiving pharmacologic therapy with ursodeoxycholic acid or chenodeoxy-cholic acid for treatment of small gallstones. The patient asks the nurse how long the therapy will take to dissolve the stones. What is the best answer the nurse can give?

Vitamin K

A client with carcinoma of the head of the pancreas is scheduled for surgery. Which of the following should a nurse administer to the client before surgery?

Pain with abdominal distention and hypotension

A client diagnosed with acute pancreatitis is being transferred to another facility. The nurse caring for the client completes the transfer summary, which includes information about the client's drinking history and other assessment findings. Which assessment findings confirm the diagnosis of acute pancreatitis?

"The tube allows the gastrointestinal tract to rest."

A client has a nasogastric (NG) tube for suction and is NPO after a pancreaticoduodenectomy. Which explanation made by the nurse is the major purpose of this treatment?

Dark urine Jaundice Clay-colored stools

A client has a tumor of the head of the pancreas. What clinical manifestations will the nurse assess? Select all that apply.

To increase the client's pain threshold

A client is admitted to the health care center with severe abdominal pain rated 10 on a 1-to-10 scale, tachycardia, hypertension, and muscle spasms. The nurse immediately administers morphine sulfate 4 mg slow intravenous pyelogram (IVP), as ordered. The nurse plans for which goal after administration of this mediation?

A D K Essential fatty acids

A client is instructed to follow a low-fat diet after an inflammatory attack of the gallbladder. Which vitamins will the nurse recommend the client supplement due to the client's dietary restrictions? Select all that apply.