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.

Limit activity

Encourage a high carbohydrate, high-fat diet

Monitor for weight loss

Administration of pancrelipase

Eliminate alcohol intake

Answer and Explanation

Correct Answer : C,D,E

A) Limited activity is not typically necessary unless specified by a physician.

B) A low-fat diet is usually recommended for a client with chronic pancreatitis.

C)   Weight loss in chronic pancreatitis is common due to the risk of malnutrition and malabsorption.
D)   Administration of pancrelipase is essential for aiding digestion if the pancreas is not producing enough enzymes.
E)   Elimination of alcohol intake is critical to prevent further damage to the pancreas.

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Correct Answer is D

Explanation

A) Breath with fecal odor could indicate hepatic encephalopathy, for which lactulose is indicated.
B) Increasing confusion is a symptom of hepatic encephalopathy suggests a need for lactulose.
C) Elevated ammonia levels indicate hepatic encephalopathy hence the need for lactulose.
D) If the client already has diarrhea, additional doses of lactulose (which acts as a laxative) could exacerbate this condition and might need to be adjusted or halted based on clinical judgment.

A. Request a dietary consult B. Order a 2 gram sodium restriction diet C. Initiate a fluid restriction D. Hold the spironolactone and furosemide

Correct Answer is D

Explanation

A) Requesting a dietary consult is useful but not the most immediate action needed.

B) Ordering a 2 gram sodium restriction diet is important but not addressing the immediate issue of electrolyte imbalance.
C) Fluid restriction may be considered but not before addressing the electrolyte issues.
D) Holding the spironolactone and furosemide is the correct action, as administering these could exacerbate the existing hypokalemia and hyponatremia, increasing the risk of adverse effects.

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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.

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

The nurse is preparing to administer spironolactone (Aldactone) and furosemide (Lasix) at 0900 to a client diagnosed with ascites. Review of 0600 laboratory results shows serum sodium 130 mEq/L (136-145 mEq/L) and potassium 3.1 mEq/L (3.5-5.0 mEq/L). Which action should the nurse take first?

Correct Answer is D

Explanation

Which question would the nurse ask to identify a risk factor for liver disease?

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 a client presentation regarding pancrelipase (Viokase) therapy. Which information would the nurse include in the teaching session?

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 notes these laboratory results for a client with cirrhosis: PT 20 seconds (11-12.5 sec) and serum ammonia 35 mcg/dL (15-45 mcg/dL). What action by the nurse would be a priority?

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

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

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?