An adult client is admitted to the emergency department with symptoms of acute pancreatitis. Which data support this diagnosis?

Malabsorption and weight loss

Fluid retention and hypertension

Lipase 3200 u/L (20-180 u/L) and Turner sign

Amylase 35 u/L (30-170 u/L) and steatorrhea

Answer and Explanation

The Correct Answer is C

A) These symptoms are more indicative of chronic conditions.

B) These are not specific to acute pancreatitis.

C) Elevated lipase and Turner's sign (bruising around the flanks) strongly suggest acute pancreatitis.
D) Amylase within normal limits and steatorrhea do not support acute pancreatitis.

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Correct Answer is ["A","B","C"]

Explanation

A) PT is prolonged in cirrhosis due to impaired synthesis of clotting factors by the liver, making it important to monitor for bleeding risk.
B) Serum albumin levels decrease in cirrhosis due to impaired liver function, reflecting the client's nutritional status and liver synthetic function.
C) Elevated serum ammonia levels can indicate hepatic encephalopathy, a complication of cirrhosis characterized by altered mental status.
D) Troponin is not typically evaluated in cirrhosis assessment; it is a cardiac marker used to assess for myocardial infarction.
E) Serum lipase is not typically evaluated in cirrhosis assessment; it is a pancreatic enzyme used to diagnose pancreatitis.

A. Breath with fecal odor B. Increasing confusion C. Serum ammonia level 72 mcg/dL (15-45 mcg/dL) D. Diarrhea

Correct Answer is D

Explanation

A) Breath with fecal odor could indicate hepatic encephalopathy, for which lactulose is indicated.
B) Increasing confusion is a symptom of hepatic encephalopathy suggests a need for lactulose.
C) Elevated ammonia levels indicate hepatic encephalopathy hence the need for lactulose.
D) If the client already has diarrhea, additional doses of lactulose (which acts as a laxative) could exacerbate this condition and might need to be adjusted or halted based on clinical judgment.

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An adult client is admitted to the emergency department with symptoms of acute pancreatitis. Which data support this diagnosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse should evaluate results of which laboratory tests while caring for a client who has cirrhosis of the liver? Select all that apply.

Correct Answer is ["A","B","C"]

Explanation

A client with cirrhosis is scheduled to receive a third dose of lactulose (Cephulac) at 1800. Which current finding would cause the nurse to question administering this medication?

Correct Answer is D

Explanation

The nurse is preparing to administer spironolactone (Aldactone) and furosemide (Lasix) at 0900 to a client diagnosed with ascites. Review of 0600 laboratory results shows serum sodium 130 mEq/L (136-145 mEq/L) and potassium 3.1 mEq/L (3.5-5.0 mEq/L). Which action should the nurse take first?

When planning care for a client receiving an enteral feeding via jejunostomy tube, which intervention would the nurse include?

A client with a history of chronic pancreatitis reports weight loss of 10 pounds over the last month and foul smelling stools. What would be a priority action for the nurse to take?

The nurse is admitting a client with the diagnosis of hepatic encephalopathy. Which assessment finding should the nurse anticipate?

While assessing the client with acute pancreatitis the nurse notes the following: skin warm and dry with inelastic turgor, hypoactive bowel sounds, nausea and vomiting for 24 hours, and amber-colored urine. Which action would the nurse take next?

The nurse is caring for a client with chronic pancreatitis who exhibits signs of malabsorption. The nurse recognizes that this is due to which pathophysiology process?

Which question would the nurse ask to identify a risk factor for liver disease?