A nurse is caring for a client in the oncology unit.

Exhibits
The nurse should educate the client that diagnostic imaging techniques used for assessing pancreatic ducts include Target 1, Target 2 and Target 3

Ultrasound

MRCP

CT scan

Biopsy

HIDA scan

X-ray

Answer and Explanation

Correct Answer : A,B,C

Correct Answers:
The nurse should educate the client that diagnostic imaging techniques used for assessing pancreatic ducts include Ultrasound, MRCP, and CT scan.

Rationale:

Ultrasound is commonly used as an initial noninvasive imaging tool for detecting pancreatic abnormalities.
MRCP (Magnetic Resonance Cholangiopancreatography) is a specialized MRI technique that provides detailed images of the pancreatic and biliary ducts.
CT scan provides cross-sectional imaging of the pancreas and can identify masses or ductal obstruction.
Biopsy is diagnostic but not considered an imaging technique.
HIDA scan assesses gallbladder function, not pancreatic ducts.
X-ray is not effective for direct pancreatic duct imaging.

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Correct Answer is B

Explanation

Rationale:
A. Epigastrium refers to the upper central region of the abdomen, just below the sternum; Cullen’s sign does not appear here.
B. Umbilical region (around the navel) is where Cullen’s sign appears as a bluish discoloration due to subcutaneous fat necrosis or retroperitoneal bleeding associated with acute pancreatitis. This is the correct site.
C. Flank discoloration is known as Grey Turner’s sign, another indicator of retroperitoneal bleeding, but distinct from Cullen’s sign.
D. Subumbilical refers to the area below the umbilicus, not the typical site for Cullen’s sign.

A. Projectile vomiting B. Abdominal distention C. Metabolic alkalosis D. Referred back pain

Correct Answer is B

Explanation

Rationale:
A. Vomiting is more common in small bowel obstruction and is usually less severe in large bowel obstruction.

B. A large bowel obstruction causes accumulation of gas and fecal material proximal to the blockage, leading to significant abdominal distention.

C. Large bowel obstruction may eventually cause metabolic acidosis due to impaired perfusion and tissue hypoxia, not alkalosis.

D. Back pain is not a typical sign of large bowel obstruction; the primary symptom is abdominal discomfort, distention, and constipation.

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A nurse is caring for a client in the oncology unit. Exhibits The nurse should educate the client that diagnostic imaging techniques used for assessing pancreatic ducts include Target 1, Target 2 and Target 3

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In reviewing the medical record for a patient admitted with acute pancreatitis, the nurse sees that the patient has a positive Cullen's sign. Indicate the area in the accompanying figure where the nurse will assess for this change.

Correct Answer is B

Explanation

What is a likely finding in the nurse's assessment of a patient who has a large bowel obstruction?

Correct Answer is B

Explanation

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Which of the following laboratory findings is most indicative of fluid volume excess in a client with liver cirrhosis?

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A nurse is caring for a client in the oncology unit.

Exhibits
The nurse should educate the client that diagnostic imaging techniques used for assessing pancreatic ducts include Target 1, Target 2 and Target 3