The nurse is caring for a client with acute pancreatitis. Which of the following would the nurse anticipate seeing in the client's history?

Cholelithiasis

Constipation

Splenomegaly

Ascites

Answer and Explanation

The Correct Answer is A

A. Cholelithiasis: Gallstones (cholelithiasis) are a major cause of acute pancreatitis because they can block the pancreatic duct, leading to inflammation and autodigestion of the pancreas.

B. Constipation: Pancreatitis is more commonly associated with diarrhea due to malabsorption, rather than constipation.

C. Splenomegaly: Splenomegaly (enlarged spleen) is associated with portal hypertension from liver disease, not pancreatitis.

D. Ascites: Ascites is seen in advanced liver disease (e.g., cirrhosis) rather than acute pancreatitis, though severe cases of pancreatitis can lead to fluid accumulation in the abdomen.

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Correct Answer is C

Explanation

A. Viral hepatitis: Hepatitis B and C are risk factors for liver cancer, not pancreatic cancer. There is no strong link between hepatitis and pancreatic cancer.

B. High-fiber diet: A high-fiber diet is protective against colorectal cancer, not a risk factor for pancreatic cancer.

C. Chronic pancreatitis: Chronic inflammation of the pancreas increases the risk of pancreatic cancer by causing long-term cellular damage and mutations.

D. Regular exercise: Exercise reduces the risk of many cancers, including pancreatic cancer. Sedentary lifestyles and obesity increase the risk.

A. Reduce the client's intake of protein B. Administer vitamin K C. Restrict the client's intake of fluids. D. Administer diuretics

Correct Answer is A

Explanation

A. Reduce the client's intake of protein: Protein metabolism produces ammonia, which worsens hepatic encephalopathy. Reducing dietary protein (especially red meat) helps lower ammonia levels. However, some protein is necessary, so a diet high in plant-based protein is preferred.

B. Administer vitamin K: Vitamin K is used to manage coagulopathy in liver disease but does not affect ammonia levels.

C. Restrict the client's intake of fluids: Fluid restriction is necessary for hyponatremia or ascites, but it does not help reduce ammonia levels.

D. Administer diuretics: Diuretics are used for ascites and edema, not ammonia reduction.

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The nurse is caring for a client with acute pancreatitis. Which of the following would the nurse anticipate seeing in the client's history?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is a common risk factor for the development of pancreatic cancer?

Correct Answer is C

Explanation

A nurse is planning care for a client who has end-stage cirrhosis of the liver with hepatic encephalopathy. Which of the following interventions should the nurse plan to implement to decrease the client's ammonia level?

Correct Answer is A

Explanation

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