The nurse is making a home visit to a client with chronic pancreatitis. Which data is consistent with this diagnosis?

Weight loss

Cool, clammy skin

Bruising on flank

Ascites

Answer and Explanation

The Correct Answer is A

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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Correct Answer is A

Explanation

A) Cirrhosis can lead to coagulopathy due to impaired synthesis of clotting factors by the liver, putting the client at high risk for bleeding.

B) While clients with cirrhosis may experience fatigue, it is not the priority problem indicated by the assessment data provided.
C) Decreased appetite and jaundice may affect nutritional status, but they do not pose an immediate threat compared to the risk of bleeding.
D) Jaundice can lead to pruritus and increased risk of skin breakdown, but it is not the priority problem indicated by the assessment data provided.

A. Administer pancreatic enzymes B. Maintain nasogastric tube to intermittent suction C. Encourage ambulation D. Provide clear liquid diet

Correct Answer is B

Explanation

A) Pancreatic enzymes are typically used to aid in digestion rather than pain control in acute pancreatitis.
B) Decompression of the gastrointestinal tract through nasogastric suction can help reduce pancreatic stimulation and alleviate pain in acute pancreatitis.
C) While ambulation may help prevent complications, it is not directly related to pain control in acute pancreatitis.
D) A clear liquid diet may be initiated once the acute phase has resolved, but it does not directly contribute to pain control.

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The nurse is making a home visit to a client with chronic pancreatitis. Which data is consistent with this diagnosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with cirrhosis has the following current assessment data: jaundice, decreased appetite, hemoglobin 15 g/dL (14-18 g/dL) and PT of 20.6 seconds (11-12.5 sec). What does the nurse identify as the priority problem for this client?

Correct Answer is A

Explanation

When planning care for a client with acute pancreatitis, which order would the nurse anticipate that will contribute to pain control?

Correct Answer is B

Explanation

The nurse is providing care to a client admitted with chronic pancreatitis. Which items are appropriate to include in the discharge teaching for this client? Select all that apply.

The nurse is preparing discharge teaching for a client who has had a paracentesis. What information should be included in the education session?

The nurse is admitting a client diagnosed with ascites. Which assessment finding would the nurse anticipate?

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?

When planning care for a client receiving an enteral feeding via jejunostomy tube, which intervention would the nurse include?

The client with cirrhosis is at risk for developing complications. Which condition is the most serious and potentially life-threatening?

A client with a history of chronic pancreatitis reports weight loss of 10 pounds over the last month and foul smelling stools. What would be a priority action for the nurse to take?

A client with cirrhosis is scheduled to receive a third dose of lactulose (Cephulac) at 1800. Which current finding would cause the nurse to question administering this medication?