A nurse is preparing discharge instructions for a client who has been treated for acute pancreatitis. Which of the following statements is important to include in the information?

Avoid wearing tight-fitting clothing.

Cease from smoking and consuming alcohol.

Practice good dental hygiene.

Stop exercising.

Answer and Explanation

The Correct Answer is B

Choice A Reason: Avoid wearing tight-fitting clothing

Avoiding tight-fitting clothing is not specifically related to the management of acute pancreatitis. While comfortable clothing can be beneficial for general well-being, it does not directly impact the condition or its management. The primary focus for managing acute pancreatitis involves dietary and lifestyle changes that reduce stress on the pancreas.

Choice B Reason: Cease from smoking and consuming alcohol

Ceasing from smoking and consuming alcohol is crucial for clients with acute pancreatitis. Alcohol is a major risk factor for pancreatitis, and continued consumption can exacerbate the condition and lead to chronic pancreatitis or other complications. Smoking also has detrimental effects on the pancreas and can worsen the prognosis. Therefore, it is essential to advise clients to stop these habits to promote healing and prevent recurrence.

Choice C Reason: Practice good dental hygiene

While good dental hygiene is important for overall health, it is not specifically related to the management of acute pancreatitis. The primary concerns for pancreatitis management involve dietary adjustments, avoiding alcohol and smoking, and monitoring for symptoms of recurrence.

Choice D Reason: Stop exercising

Stopping exercise is not recommended for clients with acute pancreatitis. In fact, regular physical activity can be beneficial for overall health and well-being. However, clients should avoid strenuous activities during the acute phase of pancreatitis and gradually resume exercise as they recover. The focus should be on balanced, moderate physical activity that supports overall health without overexerting the body.

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Correct Answer is B

Explanation

Choice A Reason:

A rigid abdomen is not a typical finding in a client with diarrhea. It may indicate a more serious condition such as peritonitis or an acute abdomen, which requires immediate medical attention.

Choice B Reason:

This is the correct answer. Dehydration is a common complication of prolonged diarrhea due to the significant loss of fluids and electrolytes. Symptoms of dehydration include excessive thirst, dry mouth, dark-colored urine, and dizziness.

Choice C Reason:

Hypothermia is not commonly associated with diarrhea. Diarrhea typically does not affect body temperature to the extent of causing hypothermia.

Choice D Reason:

Decreased bowel sounds are not typically expected with diarrhea. In fact, bowel sounds may be hyperactive due to increased intestinal activity.

A. WBC Count 22,000/mm³ B. Hgb 15 g/dL C. Creatine kinase 75 units/L D. Platelet count 200,000/mm³

Correct Answer is A

Explanation

Choice A Reason: WBC Count 22,000/mm³

A white blood cell (WBC) count of 22,000/mm³ is significantly higher than the normal range, which is typically between 4,000 and 11,000/mm³. An elevated WBC count, known as leukocytosis, often indicates the presence of an infection as the body produces more white blood cells to fight off pathogens. This elevated count can also be seen in other conditions such as inflammation, stress, or bone marrow disorders, but it is a strong indicator of infection.

Choice B Reason: Hgb 15 g/dL

Hemoglobin (Hgb) levels of 15 g/dL fall within the normal range for adults, which is generally 13.8 to 17.2 g/dL for males and 12.1 to 15.1 g/dL for females. Normal hemoglobin levels indicate that the blood’s oxygen-carrying capacity is adequate and do not specifically point to an infection.

Choice C Reason: Creatine kinase 75 units/L

Creatine kinase (CK) levels of 75 units/L are within the normal range, which is typically 24 to 204 U/L. CK is an enzyme found in the heart, brain, and skeletal muscle, and elevated levels can indicate muscle damage, myocardial infarction, or other conditions affecting these tissues. However, normal CK levels do not indicate the presence of an infection.

Choice D Reason: Platelet count 200,000/mm³

A platelet count of 200,000/mm³ is within the normal range, which is generally between 150,000 and 450,000 platelets per microliter of blood. Platelets are involved in blood clotting, and normal levels do not indicate an infection. Abnormal platelet counts can be associated with bleeding disorders or thrombosis, but a normal count does not suggest an infection.

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A nurse is preparing discharge instructions for a client who has been treated for acute pancreatitis. Which of the following statements is important to include in the information?

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Correct Answer is B

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Correct Answer is A

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