Chapter 50: Assessment and Management of Patients With Biliary Disorders

(see full question) A patient is diagnosed with mild acute pancreatitis. What does the nurse understand is characteristic of this disorder? You selected: Edema and inflammation

(see full question) 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 his diagnosis? You selected: Recent weight loss and temperature elevation

(see full question) A client is evaluated for severe pain in the right upper abdominal quadrant, which is accompanied by nausea and vomiting. The physician diagnoses acute cholecystitis and cholelithiasis. For this client, which nursing diagnosis takes top priority? You selected: Acute pain related to biliary spasms

(see full question) A patient is admitted to the health care center with severe abdominal pain rated at 10 on a 1-10 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 of the following goals following the administration of this mediation? You selected: To increase the patient's pain threshold

Question 6: (see full question) When caring for the patient with acute pancreatitis, the nurse must consider pain relief measures. What nursing interventions could the nurse provide? (Select all that apply.) You selected: • Administering parenteral opioid analgesics as ordered • Administering prophylactic antibiotics • Encouraging bed rest to decrease the metabolic rate Incorrect Correct response: • Encouraging bed rest to decrease the metabolic rate • Withholding oral feedings to limit the release of secretin • Administering parenteral opioid analgesics as ordered

(see full question) A patient with acute pancreatitis puts the call bell on to tell the nurse about an increase in pain. The nurse observes the patient guarding; the abdomen is boardlike and no bowel sounds are detected. What is the major concern for this patient? You selected: The patient has developed peritonitis. Correct

(see full question) Which of the following conditions in a patient with pancreatitis makes it necessary for the nurse to check fluid intake and output, hourly urine output, and monitor electrolyte levels? You selected: Frequent vomiting leading to loss of fluid volume

From the following profiles of clients, which client would be most likely to undergo the diagnostic test of cholecystography? Correct response: Mark, suspected of having stones in the gallbladder

(see full question) When the nurse is caring for a patient with acute pancreatitis, what intervention can be provided in order to prevent atelectasis and prevent pooling of respiratory secretions? You selected: Frequent changes of positions

(see full question) A nurse is preparing a client for surgery. During preoperative teaching, the client asks where is bile stored. The nurse knows that bile is stored in the: You selected: Gallbladder Correct

The digestion of carbohydrates is aided by Correct response: amylase.

(see full question) A nurse is preparing a patient for an endoscopic retrograde cholangiopancreatography (ERCP). The patient asks what this test is used for. Which of the following statements made by the nurse explains how an ERCP can determine the difference between pancreatitis and other biliary disorders? Select all that apply. You selected: • It can assess for ecchymosis in the body. • It can evaluate the presence and location of ductal stones and aid in stone removal. • It can detects unhealthy tissues in the pancreas and assess for abscesses and pseudocysts. Incorrect Correct response: • It can evaluate the presence and location of ductal stones and aid in stone removal. • It can assess the anatomy of the pancreas and the pancreatic and biliary ducts. • It can detects unhealthy tissues in the pancreas and assess for abscesses and pseudocysts.

(see full question) Increased appetite and thirst may indicate that a client with chronic pancreatitis has developed diabetes melitus. Which of the following explains the cause of this secondary diabetes? You selected: Dysfunction of the pancreatic islet cells

When caring for a client with acute pancreatitis, the nurse should use which comfort measure? You selected: Positioning the client on the side with the knees flexed

(see full question) A nurse should monitor blood glucose levels for a patient diagnosed with hyperinsulinism. What blood value does the nurse recognize as inadequate to sustain normal brain function? You selected: 30 mg/dL

(see full question) The physician has written the following orders: bed rest, nothing by mouth (NPO), and administration of total parenteral nutrition (TPN) for a new patient admitted with pancreatitis. The nurse attributes which of the following as the cause for NPO status? You selected: To avoid inflammation of the pancreas

Which of the following enzymes aids in the digestion of fats? You selected: Lipase

Total parental nutrition (TPN) should be used cautiously in patients with pancreatitis due to which of the following? You selected: They cannot tolerate high-glucose concentration