The nurse and the orientee are receiving a client from the Post Anesthesia Care Unit (PACU) following a Pancreaticoduodenectomy (Whipple) procedure What statements by the orientee indicate that teaching has been effective regarding this type of patient?
(Select All that Apply
The client most likely has a diagnosis of pancreatic cancer."
"I will carefully assess the newly formed ileostomy stoma every four hours"
"Following this procedure, the client is at a higher risk for developing malabsorption issues.”
"The recovery time after a Whipple procedure is long.”
Correct Answer : A,C,D
A. "The client most likely has a diagnosis of pancreatic cancer." The Whipple procedure is primarily performed for pancreatic cancer, particularly in the head of the pancreas.
B. "I will carefully assess the newly formed ileostomy stoma every four hours." The Whipple procedure does not involve creating an ileostomy. It involves removal of the pancreas head, duodenum, gallbladder, and bile duct, with digestive tract reconstruction.
C. "Following this procedure, the client is at a higher risk for developing malabsorption issues." Since a portion of the pancreas is removed, clients may experience malabsorption and pancreatic enzyme insufficiency, leading to steatorrhea and nutrient deficiencies.
D. "The recovery time after a Whipple procedure is long." The Whipple procedure is major surgery with a prolonged recovery period due to the complexity of digestive system reconstruction and the risk of complications like delayed gastric emptying and anastomotic leakage.
E. "With this procedure completed, the client's prognosis is good." Pancreatic cancer has a poor prognosis even after a Whipple procedure. Survival rates remain low, and recurrence is common.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "I ate shellfish about 2 weeks ago at a local restaurant." Hepatitis A is transmitted via the fecal-oral route, often through contaminated food or water, including raw or undercooked shellfish. The incubation period is 2–6 weeks, making this history relevant.
B. "I have had unprotected sex with multiple partners." While sexual transmission is possible, hepatitis B and C are more commonly spread this way. Hepatitis A is not primarily a sexually transmitted infection.
C. "I had a blood transfusion in the 80s after a major car accident." Hepatitis C, not hepatitis A, is transmitted through blood products. Before 1992, blood transfusions carried a higher risk of hepatitis C infection.
D. "I am a recovered addict of 10 years." Injection drug use is a major risk factor for hepatitis B and C, but not hepatitis A, which is spread through ingestion of contaminated food or water.
Correct Answer is B
Explanation
A. Blood-tinged: Pancreatic cancer does not typically cause rectal bleeding.
B. Clay: Blockage of the bile duct leads to pale (clay-colored) stools due to lack of bilirubin.
C. Brown: Normal stools are brown due to bilirubin metabolism.
D. Chalky: Chalky is not a typical term used for stool description in pancreatic cancer.
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