Which manifestations (S&S) alert the nurse to the possibility of pancreatitis in the patient who has elevated serum amylase and lipase levels?

Non-bloody diarrhea with abdominal cramps.

Belching and burping within one hour after eating.

Severe epigastric pain that radiates to his back.

Heartburn that worsens when lying down

Answer and Explanation

The Correct Answer is C

A. Non-bloody diarrhea with abdominal cramps: These symptoms are not typical of pancreatitis. They are more common in gastrointestinal infections or irritable bowel syndrome.

B. Belching and burping within one hour after eating: These symptoms are usually associated with gastroesophageal reflux disease (GERD) or dyspepsia, not pancreatitis.

C. Severe epigastric pain that radiates to his back: Severe epigastric pain that radiates to the back is a hallmark symptom of acute pancreatitis.

D. Heartburn that worsens when lying down: This symptom is more characteristic of GERD rather than pancreatitis.

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Correct Answer is B

Explanation

A. Elevating the head of the bed promotes venous return and helps increase the ICP: This is incorrect. Elevation of the head of the bed helps to decrease intracranial pressure (ICP) by promoting venous drainage rather than increasing it.

B. Elevation of the head of the bed aids in maintaining cerebral perfusion: Elevating the head of the bed helps to decrease ICP, which in turn aids in maintaining adequate cerebral perfusion pressure.

C. Elevation of the head of the bed will increase intracranial pressure (ICP): This is incorrect. Elevation of the head of the bed is intended to reduce ICP, not increase it.

D. The nurse should keep the head of the bed flat to ensure adequate arterial circulation: This is incorrect. Keeping the head of the bed flat can increase ICP, which is counterproductive in managing intracranial pressure.

A. Eyelid and mouth drooping on the ipsilateral side: Facial drooping due to a stroke typically occurs on the contralateral side of the body. B. Homonymous hemianopia of the left visual field of both eyes: A left hemispheric stroke typically causes right-sided homonymous hemianopia. C. Hemiparesis of the right arm and leg with aphasia: A left hemispheric stroke often results in right-sided hemiparesis and can affect language centers, leading to aphasia.

Correct Answer is A

Explanation

A. The patient is now sleepy and won't wake up: Increased drowsiness or difficulty waking up could indicate worsening of the hemorrhagic stroke, potentially due to increased intracranial pressure or a secondary brain injury.

B. Identification of an elevated serum cholesterol level: Elevated cholesterol is a risk factor for ischemic strokes but is not a direct indicator of complications from a hemorrhagic stroke.

C. The presence of nausea and a headache: This could be a common symptom following a hemorrhagic stroke but is not necessarily a specific indicator of a complication.

D. A complaint of neck pain and light intolerance: These symptoms are less specific to complications of a hemorrhagic stroke and could be related to other issues.

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Which manifestations (S&S) alert the nurse to the possibility of pancreatitis in the patient who has elevated serum amylase and lipase levels?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is A

Explanation

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