Pancreas Disorders

A patient with acute pancreatitis is NPO and had a NG tube to suction. Which information obtained by the nurse indicates that these therapies have been effective? A. Bowel sounds are present B. Grey Turner sign resolves C. Electrolyte levels are normal D. Abdominal pain is decreased

Abdominal pain is decreased

The nurse is caring for a patient with pancreatic cancer. Which nursing action is the highest priority? A. Offer psychologic support for depression B. Offer high cal, high protein dietary choices C. Admin prescribed opioids to relieve pain as needed D. Teach about the need to avoid scratching any pruritus areas

Admin prescribed opioids to relieve pain as needed

When taking the blood pressure on the right arm of a patient who has severe acute pancreatitis, the nurse noticed carpal spams of the patient's right hand. Which action should the nurse take next? A. Ask the patient about any arm pain B. Retake the patients blood pressure C. Check the calcium level in the chart D. Notify the health care provider immediately

Check the calcium level in the chart

Patient admitted with acute pancreatitis pms the nurse sees that the patient had a positive Cullen's Sign. Indicate the area where the nurse will assess for this change.

Ecchymosis around the umbilicus

Which lab test result will the nurse monitor to evaluate the effects of therapy for a patient who has acute pancreatitis? A. Lipase B. Calcium C. Bilirubin D. Potassium

Lipase

The nurse is planning care for a patient with acute sever pancreatitis. What is the ingest priority patient outcome? A. Having fluid and electrolyte balance B. Maintain normal respiratory function C. Expressing satisfaction with pain control D. Developing no ongoing pancreatic disease

Maintain normal respiratory function

What should the nurse teach a patient with chronic pancreatitis is the time to take the prescribed pancrelipase (Viokase)? A. Bedtime B. Mealtime C. When nauseated D. For abdominal pain

Mealtime

Which assessment finding would the nurse need to report most quickly to the health care provider regarding a patient who has acute pancreatitis? A. Nausea and vomiting B. Hypotonic bowel sounds C. Muscle twitching and finger numbness D. Upper abdominal tenderness and guarding

Muscle twitching a finger numbness

Which assessment findings is of most concern for a patient with acute pancreatitis? A. Absent bowel sounds B. Abdominal tenderness C. Left upper quadrant pain D. Palpable abdominal mass

Palpable abdominal mass

What risk factors will the nurse specifically ask about when a patient is being admitted with acute pancreatitis? A. Diabetes B. Alcohol use C. High-protein diet D. Cigarette smoking

Smoking

Nursing management of the patient with acute pancreatitis includes (select all that apply) a. administering pain medication. b. checking for signs of hypocalcemia. c. providing a diet low in carbohydrates. d. giving insulin based on a sliding scale. e. monitoring for infection, particularly respiratory tract infection.

administering pain medication. checking for signs of hypocalcemia. monitoring for infection, particularly respiratory tract infection

A patient with pancreatic cancer is admitted to the hospital for evaluation of treatment options. The patient asks the nurse to explain the Whipple procedure that the surgeon has described. The explanation includes the information that a Whipple procedure involves a. creating a bypass around the obstruction caused by the tumor by joining the gallbladder to the jejunum. b. resection of the entire pancreas and the distal part of the stomach, with anastomosis of the common bile duct and the stomach into the duodenum. c. removal of part of the pancreas, part of the stomach, the duodenum, and the gallbladder, with joining of the pancreatic duct, the common bile duct, and the stomach into the jejunum. d. removal of the pancreas, the duodenum, and the spleen, and attachment of the stomach to the jejunum, which requires oral supplementation of pancreatic digestive enzymes and insulin replacement therapy.

removal of part of the pancreas, part of the stomach, the duodenum, and the gallbladder, with joining of the pancreatic duct, the common bile duct, and the stomach into the jejunum.