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 D

Explanation

A) Checking blood glucose daily is not directly relevant unless the client also has diabetes.

B) While this can indicate other health issues, it is not specific post-paracentesis advice.
C) A low carbohydrate diet is not typically related to post-paracentesis care unless specified by the healthcare provider for other underlying conditions.
D) Change positions slowly is important to prevent postural hypotension and falls after fluid removal during paracentesis. It prevent dizziness or lightheadedness due to fluid shifts or blood pressure changes after the procedure.

A. Pancrelipase 500 units/kg PO three times daily with meals B. Ambulate twice daily. C. Pantoprazole 80 mg IV bolus twice daily D. Initiate a low-residue diet.

Correct Answer is C

Explanation

A) Pancrelipase may be prescribed to aid in digestion in chronic pancreatitis but is not typically used in the acute phase.
B) While ambulation may be encouraged as tolerated, it is not a specific prescription for acute pancreatitis.
C) Pantoprazole, a proton pump inhibitor, is often prescribed in acute pancreatitis to reduce gastric acid secretion, thereby reducing pancreatic stimulation and promoting healing.
D) In acute pancreatitis, dietary intake is typically restricted initially, often starting with nothing by mouth (NPO) and progressing to a clear liquid diet as tolerated; a low-residue diet is usually introduced at a later stage.

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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

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

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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