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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Moist and formed: A left-sided ostomy is likely from the descending or sigmoid colon, where stool is more formed and solid because most water has been absorbed.
B. Ribbon-like: Ribbon-like stool is often associated with bowel obstruction or colorectal cancer, not a normal ostomy output.
C. Mucus-coated: Mucus-coated stool is more typical in patients with an ileostomy or colitis, not a long-term colostomy.
D. Loose and liquid: Liquid stool is expected with an ileostomy (right-sided ostomy), where less water is absorbed.
Correct Answer is ["A","B","C"]
Explanation
A. Avoid drawing blood from the affected extremity: Blood draws, IVs, and BP measurements should never be done on the fistula arm to prevent damage and thrombosis.
B. Auscultate the fistula for the sound of a bruit: A bruit (whooshing sound) confirms blood flow through the fistula, indicating patency.
C. Palpate the site to identify the presence of a thrill: A thrill (vibration) should be felt over the fistula. Absence may indicate clotting or failure.
D. Irrigate the fistula with saline to maintain patency: A fistula is never irrigated. Only dialysis staff should access it.
E. Keep the fistula clamped until ready to perform dialysis: AV fistulas are not clamped. Clamping could obstruct blood flow.
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