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?

Gallstones

Duodenitis

Type 2 diabetes mellitus

Hepatitis C

Answer and Explanation

The Correct Answer is A

A)   Gallstones are a leading cause of acute pancreatitis as they can block the pancreatic duct.
B)   While inflammation of the duodenum can cause abdominal symptoms, it does not directly lead to acute pancreatitis.
C)   Diabetes results from the dysfunction of the pancreas after damage but does not cause acute pancreatitis.
D)   Hepatitis C affects the liver and does not directly cause pancreatitis.

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Correct Answer is D

Explanation

A) While reviewing the diet history is important to understand nutritional intake and habits, it is not the priority action in this case.
B) Consulting a dietitian is important but should follow an assessment that identifies the specific issue causing the symptoms.
C) This action may be necessary if the patient is dehydrated but doesn’t address the primary concern of foul-smelling stools and weight loss.
D) This test is crucial as it helps confirm the diagnosis of malabsorption, which is likely given the patient’s history of chronic pancreatitis and symptoms described. This would be the priority to confirm the cause of the symptoms.

A. Weight loss B. Cool, clammy skin C. Bruising on flank D. Ascites

Correct Answer is A

Explanation

A) Weight loss is a common symptom of chronic pancreatitis due to malabsorption and decreased appetite.
B) Cool, clammy skin is not typically associated with chronic pancreatitis; it may indicate other conditions such as shock or hypotension.
C) Bruising on the flank is not a typical finding in chronic pancreatitis; it may suggest trauma or other underlying conditions.
D) Ascites, the accumulation of fluid in the abdominal cavity, is more commonly associated with advanced liver disease rather than chronic pancreatitis.

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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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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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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?