A nurse is collecting data on a client who has acute pancreatitis.
Which of the following factors should the nurse anticipate in the client’s history?
Gallstones
GERD
Diabetes mellitus
Shock
The Correct Answer is A
Choice A rationale
Acute pancreatitis is a condition characterized by inflammation of the pancreas. The most common cause of acute pancreatitis is gallstones, which can become lodged in a bile or pancreatic duct and cause inflammation. Gallstones are hardened deposits of digestive fluid that can form in your gallbladder, and when they block the ducts leading from the gallbladder to the intestines, they can cause sharp pain in the upper abdomen that quickly worsens. This pain can radiate to the back, another common symptom of acute pancreatitis. Therefore, a history of gallstones is a significant factor to anticipate in a client with acute pancreatitis.
Choice B rationale
GERD, or gastroesophageal reflux disease, is a chronic condition where stomach acid flows back up into the esophagus causing heartburn and other symptoms. While GERD can lead to discomfort and complications like esophagitis, it does not typically cause acute pancreatitis.
Choice C rationale
Diabetes mellitus is a chronic condition that affects the body’s ability to use blood sugar for energy. While diabetes can lead to a host of health complications, it is not typically a direct cause of acute pancreatitis.
Choice D rationale
Shock is a life-threatening condition that requires immediate medical attention. It occurs when the body is not getting enough blood flow, leading to insufficient oxygen and nutrients for your cells and organs. Shock can be a result of severe acute pancreatitis, but it is not a cause.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Before starting an enteral feeding using a newly inserted nasogastric feeding tube, it is crucial to review abdominal x-ray results to confirm the correct placement of the tube.
Choice B rationale
While reviewing chest x-ray results can provide useful information about the patient’s overall health, it is not specifically required before starting an enteral feeding.
Choice C rationale
Flushing the feeding tube is an important step in maintaining tube patency, but it does not need to be done specifically before starting an enteral feeding.
Choice D rationale
Auscultating bowel sounds can provide information about gastrointestinal function, but it is not specifically required before starting an enteral feeding.
Correct Answer is D
Explanation
Choice A rationale
The UREA breath test does not measure ammonia levels. While H. pylori can convert urea to ammonia and carbon dioxide, the test specifically measures the level of carbon dioxide in the breath.
Choice B rationale
The UREA breath test does not measure hydrochloric acid. Hydrochloric acid is produced by the stomach to aid in digestion, but it is not measured in the UREA breath test.
Choice C rationale
The UREA breath test does not measure potassium. Potassium is an important electrolyte in the body, but it is not related to the presence of H. pylori or the UREA breath test.
Choice D rationale
The UREA breath test measures carbon dioxide in the breath.
H. pylori bacteria break down urea into ammonia and carbon dioxide. Excess carbon dioxide in the breath is a sign of an H. pylori infection.
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