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

Check blood glucose daily

Monitor for dark color of urine

Follow low carbohydrate diet

Change positions slowly

Answer and Explanation

The Correct Answer is D

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.

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Correct Answer is A

Explanation

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.

A. Prothrombin time (PT) B. Serum albumin C. Serum ammonia D. Troponin E. Serum lipase

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

Explanation

A) PT is prolonged in cirrhosis due to impaired synthesis of clotting factors by the liver, making it important to monitor for bleeding risk.
B) Serum albumin levels decrease in cirrhosis due to impaired liver function, reflecting the client's nutritional status and liver synthetic function.
C) Elevated serum ammonia levels can indicate hepatic encephalopathy, a complication of cirrhosis characterized by altered mental status.
D) Troponin is not typically evaluated in cirrhosis assessment; it is a cardiac marker used to assess for myocardial infarction.
E) Serum lipase is not typically evaluated in cirrhosis assessment; it is a pancreatic enzyme used to diagnose pancreatitis.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

The nurse should evaluate results of which laboratory tests while caring for a client who has cirrhosis of the liver? Select all that apply.

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

Explanation

An adult client is admitted to the emergency department with symptoms of acute pancreatitis. Which data support this diagnosis?

The nurse is admitting a client with liver disease who presents with dyspnea, weight gain and abdominal distention. Which order would the nurse anticipate?

What does the nurse identify as a potential complication of chronic pancreatitis?

The client with acute pancreatitis asks why she is taking omeprazole. What is the nurse's best response?

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.

When reviewing a client's health history, which information does the nurse identify as a risk factor for development of chronic pancreatitis?

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?

The nurse is caring for a client with chronic pancreatitis who exhibits signs of malabsorption. The nurse recognizes that this is due to which pathophysiology process?