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. “Do you consume a high carbohydrate diet?" B. "Do you have a history of heart disease?" C. "Have you had a flu shot this year?" D. "Have you ever used IV drugs?"

Correct Answer is D

Explanation

A) While a high carbohydrate diet can contribute to fatty liver disease, it is less direct and specific compared to other risk factors.
B) Heart disease is not directly linked to liver disease risk.

C) Having a flu is unrelated to liver disease risk.

D) Intravenous drug use is a known risk factor for hepatitis B and C, both of which can lead to liver disease.

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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.

Nursing Test Bank

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

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

Correct Answer is D

Explanation

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