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 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.

A. Limit activity B. Encourage a high carbohydrate, high-fat diet C. Monitor for weight loss D. Administration of pancrelipase E. Eliminate alcohol intake

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

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Naxlex Comprehensive Predictor Exams

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 providing care to a client admitted with chronic pancreatitis. Which items are appropriate to include in the discharge teaching for this client? Select all that apply.

Correct Answer is ["C","D","E"]

Explanation

The nurse is collecting a health history of a client admitted for possible acute pancreatitis. Which health history item would increase the client's risk for this diagnosis?

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