eaq pancreatic disorders

A parent brings a child to a primary care center reporting that the child has a new onset of abdominal pain, back pain, and fever. The nurse notes that the child has diminished bowel sounds and a bluish discoloration adjacent to the navel. For which condition does the nurse anticipate the child will be treated?

Acute pancreatitis

A patient reports severe pain in the abdomen to a nurse. The nurse finds the patient's body temperature is 100° F. The laboratory reports show a white blood cell (WBC) count of 13,000/µL, lipase of 180 U/L, and amylase of 150 U/L. What finding does the nurse anticipate?

Acute pancreatitis

The nurse is reviewing the laboratory reports of a patient who was admitted with sudden onset severe abdominal pain. After reviewing these results, the nurse suspects that the patient may have which disorder? Refer to chart.

Acute pancreatitis

While caring for a patient with pancreatitis, a nurse finds that the patient's blood pressure is 80/70 mm Hg and the nurse suspects hypovolemia. Which treatment option does the nurse expect to be effective?

Administration of albumin

The patient with suspected pancreatic cancer is having many diagnostic studies done. Which one can be used to establish the diagnosis of pancreatic adenocarcinoma and for monitoring the response to treatment?

Cancer-associated antigen 19-9 (CA 19-9)

A patient is diagnosed with acute pancreatitis. When providing dietary teaching, what are the points that a nurse should tell the patient? Select all that apply.

Consume a low-fat diet. Avoid consuming alcohol. high carb

Which interventions does the nurse include in the care plan of a patient with pancreatitis who is on dicyclomine therapy?

Give plenty of fluids.

While caring for a patient with pancreatitis, a nurse observes that the patient is irritable, has jerking movements, and reports a loss of sensation in the fingers. Which electrolyte abnormality does the nurse suspect? Select all that apply.

Hypocalcemia hypomag

A patient reports severe abdominal pain, nausea, and vomiting. The nurse assesses that the patient has a mass in the upper region of the abdomen. The laboratory reports show the white blood cell (WBC) count as 12,000 cells/µL. What does the nurse anticipate that the patient will be treated for?

Pancreatic abscess

A patient reports nausea, a 5 kg weight loss in six days, and pain in the abdomen radiating to the back. After reviewing the magnetic resonance imaging (MRI) report, a primary health care provider orders a CA 19-9 test to confirm the diagnosis. Which condition is suspected?

Pancreatic cancer

A patient reports nausea and pain in the abdomen. While examining the patient, a nurse notices bluish discoloration in the area between the last rib and the hip. The laboratory reports reveal a white blood cell count (WBC) of 12,000 cells/µL and a body temperature of 99.1° F. What does the nurse suspect may be occurring in this patient?

Pancreatitis

A primary health care provider orders nasojejunal tube feeding for a patient with acute pancreatitis. What does the nurse suspect to be the reason behind ordering enteral feeding rather than intravenous parental nutrition?

To prevent risk of infection

Which patient's medication chart needs correction?

pt A

The nurse needs to determine whether a patient is being compliant with the medication regimen for the treatment of pancreatitis. What type of sample should the nurse collect in order to see if the patient has steatorrhea?

stool

Which statement indicates a need for further teaching by a student nurse about nutritional therapy in patients with acute pancreatitis?

"I should include fat-rich food substances in the patient's dietary plan."

A patient whose laboratory report demonstrates elevated serum amylase, triglycerides, and lipase levels as well as hyperglycemia reports severe, piercing pain in the abdomen accompanied by shortness of breath and a red face. What does the nurse suspect the diagnosis to be?

Acute pancreatitis

A patient comes with sudden and severe pain in the left upper quadrant of the abdomen and radiating to the back. Pain is aggravated by eating and is not relieved by vomiting. What priority action should the nurse take in this situation?

Avoid oral intake of food.

What is the cause of the formation of biliary sludge?

Bile stasis

A patient reports severe abdominal pain. A primary health care provider diagnoses it to be chronic pancreatitis secondary to cholecystitis. Which treatment option does the nurse anticipate will be beneficial?

Choledochojejunostomy

A patient, whose body temperature is 99° F, reports abdominal pain, nausea, vomiting, dark urine, and foul-smelling stool. The laboratory reports reveal increased levels of bilirubin in the blood. What does the nurse suspect this indicates?

Chronic pancreatitis

A patient underwent pancreaticoduodenectomy (Whipple procedure) for pancreatic cancer. What are the instructions that the nurse should include when giving dietary advice to this patient? Select all that apply

Consume a low-fat diet. Consume a high-calorie diet. Consume a diet high in proteins.

The nurse is performing an assessment on a patient that has been admitted with severe pancreatitis and discovers a bluish discoloration of the periumbilical area. How should the nurse document this finding?

Cullen's

The nurse is reviewing the laboratory studies for a patient with acute pancreatitis. Which abnormal finding does the nurse report that is seen in acute pancreatitis?

Decreased serum calcium

The nurse reviews a patient's laboratory values and recognizes which finding as an indication of resolution of acute pancreatitis?

Decreasing serum amylase level

While caring for a patient with pancreatitis, a nurse finds that the patient's blood pressure dropped to 90/60 mm Hg from an initial baseline of 125/80 mm Hg. The nurse administers isotonic fluid. Which medication should the nurse administer as prescribed by the primary health care provider?

Dopamine

Which intervention should the nurse implement to reduce the risk of parotitis in a patient with pancreatitis?

Encourage the patient to rinse his or her mouth frequently.

A patient arrives in the emergency department with acute abdominal pain related to acute pancreatitis. What does the nurse recognize may cause this disorder? Select all that apply.

Gallstones Cystic fibrosis Alcohol abuse

The nurse is caring for a patient who has an increase in gastric acid that is causing epigastric pain. Which drug does the nurse anticipate administering to the patient to reduce the gastric acid secretion?

Omeprazole

A nurse is providing dietary instructions to a patient with pancreatitis. Which statement by the patient indicates the need for further teaching?

I should avoid fiber-rich foods."

A nurse is preparing a patient experiencing three to four episodes of vomiting each day for endoscopy. The patient has a nasogastric tube connected to low intermittent gastric suctioning. What nursing action is a priority for this patient?

Infusion of lactated Ringer's solution

The nurse is developing a plan of care for a patient with acute pancreatitis. What nursing actions should be included in the plan of care? Select all that apply.

Monitor electrolyte levels. Assess respiratory function. Observe for muscular twitching

Which action of the student nurse indicates effective learning about determining the effectiveness of pancreatic enzymes replacement in patients with chronic pancreatitis?

Observing the patient's stool

A student nurse is preparing a medication chart for a group of patients. Which patient's medication chart needs correction?

Patient B

Which nursing action should be performed immediately for a patient with acute pancreatitis who has developed acute respiratory distress syndrome (ARDS)?

Provide ventilator support

The nurse is caring for a patient who is undergoing radiation therapy for pancreatic cancer. What nursing action is most beneficial for this patient?

Providing brightly-colored and attractive food

While caring for a patient with chronic pancreatitis, a primary health care provider orders the nurse to administer nortriptyline. What beneficial effect of nortriptyline will the nurse monitor in this patient?

Reduction in neuropathic pain

The nurse is attending to a patient with tentative diagnosis of acute pancreatitis. Which diagnostic tests should the nurse anticipate for the health care provider to prescribe to confirm the diagnosis? Select all that apply.

Serum lipase Serum amylase CT

Which statements of the student nurse indicate effective learning about providing care to a patient with acute pancreatitis? Select all that apply.

blood glucose temp

A nurse is caring for a patient with pancreatitis. Which interventions should the nurse implement while taking care of the patient? Select all that apply.

calcium mag blood glucose

What does a nurse anticipate that the primary health care provider will prescribe for a patient with pancreatitis who reports irritability and tingling around the lips?

calcium gluconate

A patient reports nausea, vomiting, and abdominal tenderness. The patient's laboratory reports reveal an erythrocyte sedimentation rate of 32 mm/hr, a white blood cell (WBC) count of 12,000/-µL, 2.2 mg/dL of bilirubin, and serum alkaline phosphatase of 120 U/L. What does the nurse suspect that this indicates?

chronic pancreatitis

The nurse is caring for a patient with a suspected pancreatic abscess. What clinical manifestations should the nurse document that correlates with the diagnosis? Select all that apply.

high fever abdominal pain leukocytosis

A patient is admitted to the acute care facility with a diagnosis of acute severe pancreatitis. What clinical manifestations of severe pancreatitis does the nurse monitor? Select all that apply

jaundice Pancreatic necrosis Decrease in exocrine function

Which intervention should a nurse implement to reduce discomfort in a patient with acute pancreatitis who complains of discomfort due to abdominal pain? Select all that apply.

morphine position

A patient with pancreatic cancer is in the outpatient cancer center to receive radiation therapy. The nurse knows that radiation therapy for patients with pancreatic cancer is to do what?

relieve pain

The nurse is caring for a patient with acute pancreatitis. What laboratory studies should the nurse monitor that demonstrate a change in the pancreas?

triglycerides

A patient with cancer of the head of the pancreas is admitted to the hospital. What are the manifestations that a nurse might expect to find in this patient? Select all that apply.

Clay-colored stools Itching and irritation of the skin Extreme pain in the upper abdomen that may radiate to the back