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 ["A","C","D"]

Explanation

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.

A. Blood tinged B. Clay C. Brown D. Chalky

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

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Naxlex Comprehensive Predictor Exams

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

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

Explanation

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Explanation

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