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

Diabetes mellitus

Jaundice

Ascites

Steatorrhea

Answer and Explanation

The Correct Answer is A

A)   Chronic damage to the pancreas can lead to diabetes mellitus due to the destruction of insulin-producing cells.
B)   Jaundice is typically associated with liver disease, not directly linked with chronic pancreatitis.
C)   Ascites is a complication of liver disease, not typically a direct result of chronic pancreatitis.
D)   While steatorrhea is a symptom of chronic pancreatitis due to malabsorption of fats, it is not a complication but rather a direct effect of the enzyme insufficiency.

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Correct Answer is B

Explanation

A) Bradycardia is not typically associated with hepatic encephalopathy.

B) Asterixis is a characteristic finding in hepatic encephalopathy, known as "flapping tremor," indicating neuromuscular irritability due to elevated blood ammonia levels.
C) Fever is not a common direct symptom of hepatic encephalopathy.

D) Melena indicates gastrointestinal bleeding, which while possible in liver disease, is not specific to hepatic encephalopathy.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is admitting a client with the diagnosis of hepatic encephalopathy. Which assessment finding should the nurse anticipate?

Correct Answer is B

Explanation

A nurse is admitting a client who has acute pancreatitis. Which of the following provider prescriptions should the nurse anticipate?

Correct Answer is C

Explanation

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

A female client is visiting the Medical Clinic with suspected hepatitis C. Which assessment question should the nurse ask this client?

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?

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?

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?

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

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?

The nurse is preparing a community presentation about hepatitis B virus (HBV). Which information should be included in the teaching session?