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
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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Related Questions
Correct Answer is D
Explanation
A) While reviewing the diet history is important to understand nutritional intake and habits, it is not the priority action in this case.
B) Consulting a dietitian is important but should follow an assessment that identifies the specific issue causing the symptoms.
C) This action may be necessary if the patient is dehydrated but doesn’t address the primary concern of foul-smelling stools and weight loss.
D) This test is crucial as it helps confirm the diagnosis of malabsorption, which is likely given the patient’s history of chronic pancreatitis and symptoms described. This would be the priority to confirm the cause of the symptoms.
Correct Answer is ["C","D","E"]
Explanation
A) Limited activity is not typically necessary unless specified by a physician.
B) A low-fat diet is usually recommended for a client with chronic pancreatitis.
C) Weight loss in chronic pancreatitis is common due to the risk of malnutrition and malabsorption.
D) Administration of pancrelipase is essential for aiding digestion if the pancreas is not producing enough enzymes.
E) Elimination of alcohol intake is critical to prevent further damage to the pancreas.
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