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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. There is an imbalance between the formation of new bone and the resorption of existing bone: Osteoporosis occurs when bone resorption outpaces bone formation, leading to decreased bone density and increased susceptibility to fractures.
B. An invasion of a pathogen leads to infection, causing destruction and weakening of the bone: This describes osteomyelitis, a bone infection, not osteoporosis.
C. A decrease in blood supply to the bone results in bony necrosis or the death of bone cells: This describes avascular necrosis, not osteoporosis.
D. Increased amounts of estrogen in postmenopausal women contribute to bone loss: In fact, decreased estrogen levels after menopause contribute to bone loss and osteoporosis.
Correct Answer is A
Explanation
A. Esophageal varices: Coffee-ground emesis suggests upper gastrointestinal bleeding, which is often due to ruptured esophageal varices in patients with cirrhosis.
B. Colorectal cancer: This condition typically presents with lower gastrointestinal symptoms such as changes in bowel habits or blood in the stool, not coffee-ground emesis.
C. Inflammatory bowel disease: This condition can cause gastrointestinal bleeding but is more commonly associated with symptoms like diarrhea and abdominal pain rather than coffee-ground emesis.
D. Appendicitis: This condition typically presents with right lower quadrant pain, not upper GI bleeding.
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