A nurse in a provider's office is reinforcing teaching about cigarette smoking with a client. Which of the following adverse effects should the nurse include in the teaching?

Choice A Reason:

Prolonged PT/INR (prothrombin time/international normalized ratio) is not typically seen in pancreatitis. It may be indicative of liver dysfunction or issues with blood clotting.

Choice B Reason:

Elevated lipase levels are commonly seen in clients with pancreatitis. Lipase is an enzyme produced by the pancreas, and when there is inflammation or damage to the pancreas, such as in pancreatitis, it can lead to the release of lipase into the bloodstream. Therefore, an elevated lipase level is a typical laboratory finding in clients with pancreatitis.

Choice C Reason:

Elevated ammonia levels are not typically associated with pancreatitis. Elevated ammonia levels may be seen in clients with liver disease or other metabolic disorders.

Choice D Reason:

Decreased albumin levels are not typically associated with pancreatitis. Decreased albumin levels may be seen in clients with liver disease or malnutrition, but it is not a specific marker for pancreatitis.

Choice A Reason:

Time of last pain medication is correct. This is important for the oncoming nurse to know to ensure timely pain management for the client.

Choice B Reason:

Preferred bath time is incorrect. While it's important to respect the client's preferences, the timing of their bath is typically not as critical to include in the change-of-shift report, especially when compared to more vital information like medication timing.

Choice C Reason:

Admission vital signs is incorrect. Vital signs taken upon admission are usually documented in the client's chart and are not typically included in change-of-shift reports unless there has been a significant change or concern with the client's vital signs during the shift.

Choice D Reason:

Steps required for dressing change is incorrect. While important for the client's care, the specific steps for a dressing change are typically documented in the client's care plan or orders and may not need to be repeated in every shift report unless there's a specific issue or change in the dressing change procedure.