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A nurse is interviewing a client who has acute pancreatitis. Which of the following factors should the nurse anticipate finding in the client's history?

Gallstones

Diabetes mellitus

COPD

Hypolipidemia

Answer and Explanation

The Correct Answer is A

Choice A reason:

Gallstones are a common cause of acute pancreatitis, as they can obstruct the pancreatic duct and lead to inflammation.

Choice B reason:

While diabetes mellitus can be a risk factor for pancreatitis, it is not specific to acute pancreatitis.

Choice C reason:

Chronic obstructive pulmonary disease (COPD) is not directly related to acute pancreatitis.

Choice D reason:

Hypolipidemia (low blood lipid levels) is not a common risk factor for acute pancreatitis.

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Correct Answer is A

Explanation

Choice A reason:

IV hydromorphone is an opioid analgesic that can provide effective pain relief and can be titrated to the patient's needs. It's commonly used for severe pain associated with conditions like acute pancreatitis.

Choice B reason:

Oral naproxen is a nonsteroidal anti-inflammatory drug (NSAID) that may be used for pain relief, but it's not the first-line treatment for acute pancreatitis. NSAIDs can potentially worsen the condition due to their effects on the gastrointestinal tract.

Choice C reason:

IM meperidine is an opioid analgesic that can be used for pain relief. However, in severe cases of acute pancreatitis, IV opioids are often preferred for more immediate and precise pain control.

Choice D reason:

Oral oxycodone is another opioid analgesic. However, in cases of acute pancreatitis, especially when pain is severe, IV opioids are often the preferred route of administration for more rapid and reliable pain relief.

A. Shiny, moist stoma B. Rosebud-like stoma orifice C. Purplish-colored stoma D. Stoma oozing red drainage

Correct Answer is C

Explanation

Choice A reason:

A shiny, moist stoma is generally a healthy sign, indicating good blood supply and adequate hydration of the stoma tissue. It is not a cause for concern.

Choice B reason:

A rosebud-like stoma orifice is a normal appearance for some types of stomas. It indicates a healthy stoma with good blood supply. This finding is expected and does not warrant concern.

Choice C reason:

A purplish-colored stoma may indicate compromised blood supply to the stoma, which is a serious concern and should be reported to the provider promptly. It may suggest inadequate blood flow to the stoma, which could lead to tissue necrosis.

Choice D reason:

Stoma oozing red drainage may be normal immediately postoperatively. It can be due to some oozing from the surgical site, and if it's minimal and stops after a short while, it's generally not a cause for concern.

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A nurse is interviewing a client who has acute pancreatitis. Which of the following factors should the nurse anticipate finding in the client's history?

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