lOMoARcPSD|16248954
Gallbladder Pancreas Nclex Questions Answer Key
nursing (Chamberlain University)
Studocu is not sponsored or endorsed by any college or university
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, lOMoARcPSD|16248954
A 54-year-old patient admitted with diabetes mellitus, malnutrition, osteomyelitis, and alcohol
abuse has a serum amylase level of 280 U/L and a serum lipase level of 310 U/L. To what
diagnosis does the nurse attribute these findings?
A. Malnutrition
B. Osteomyelitis
C. Alcohol abuse
D. Diabetes mellitus
● The patient with alcohol abuse could develop pancreatitis as a complication, which
would increase the serum amylase (normal 30-122 U/L) and serum lipase (normal
31-186 U/L) levels as shown.
The patient with right upper quadrant abdominal pain has an abdominal ultrasound that reveals
cholelithiasis. What should the nurse expect to do for this patient?
A. Prevent all oral intake.
B. Control abdominal pain.
C. Provide enteral feedings.
D. Avoid dietary cholesterol.
● Patients with cholelithiasis can have severe pain, so controlling pain is important until the
problem can be treated. NPO status may be needed if the patient will have surgery but
will not be used for all patients with cholelithiasis. Enteral feedings should not be
needed, and avoiding dietary cholesterol is not used to treat cholelithiasis.
A patient with cholelithiasis needs to have the gallbladder removed. Which patient assessment
is a contraindication for a cholecystectomy?
A. Low-grade fever of 100° F and dehydration
B. Abscess in the right upper quadrant of the abdomen
C. Activated partial thromboplastin time (aPTT) of 54 seconds
D. Multiple obstructions in the cystic and common bile duct
● An aPTT of 54 seconds is above normal and indicates insufficient clotting ability. If the
patient had surgery, significant bleeding complications postoperatively are very likely.
Fluids can be given to eliminate the dehydration; the abscess can be assessed, and the
obstructions in the cystic and common bile duct would be relieved with the
cholecystectomy.
The patient with sudden pain in the left upper quadrant radiating to the back and vomiting was
diagnosed with acute pancreatitis. What intervention(s) should the nurse expect to include in the
patient's plan of care?
A. Immediately start enteral feeding to prevent malnutrition.
B. Insert an NG and maintain NPO status to allow pancreas to rest.
C. Initiate early prophylactic antibiotic therapy to prevent infection.
D. Administer acetaminophen (Tylenol) every 4 hours for pain relief.
● Initial treatment with acute pancreatitis will include an NG tube if there is vomiting and
being NPO to decrease pancreatic enzyme stimulation and allow the pancreas to rest
and heal. Fluid will be administered to treat or prevent shock. The pain will be treated
Downloaded by bakr amar ()
Gallbladder Pancreas Nclex Questions Answer Key
nursing (Chamberlain University)
Studocu is not sponsored or endorsed by any college or university
Downloaded by bakr amar ()
, lOMoARcPSD|16248954
A 54-year-old patient admitted with diabetes mellitus, malnutrition, osteomyelitis, and alcohol
abuse has a serum amylase level of 280 U/L and a serum lipase level of 310 U/L. To what
diagnosis does the nurse attribute these findings?
A. Malnutrition
B. Osteomyelitis
C. Alcohol abuse
D. Diabetes mellitus
● The patient with alcohol abuse could develop pancreatitis as a complication, which
would increase the serum amylase (normal 30-122 U/L) and serum lipase (normal
31-186 U/L) levels as shown.
The patient with right upper quadrant abdominal pain has an abdominal ultrasound that reveals
cholelithiasis. What should the nurse expect to do for this patient?
A. Prevent all oral intake.
B. Control abdominal pain.
C. Provide enteral feedings.
D. Avoid dietary cholesterol.
● Patients with cholelithiasis can have severe pain, so controlling pain is important until the
problem can be treated. NPO status may be needed if the patient will have surgery but
will not be used for all patients with cholelithiasis. Enteral feedings should not be
needed, and avoiding dietary cholesterol is not used to treat cholelithiasis.
A patient with cholelithiasis needs to have the gallbladder removed. Which patient assessment
is a contraindication for a cholecystectomy?
A. Low-grade fever of 100° F and dehydration
B. Abscess in the right upper quadrant of the abdomen
C. Activated partial thromboplastin time (aPTT) of 54 seconds
D. Multiple obstructions in the cystic and common bile duct
● An aPTT of 54 seconds is above normal and indicates insufficient clotting ability. If the
patient had surgery, significant bleeding complications postoperatively are very likely.
Fluids can be given to eliminate the dehydration; the abscess can be assessed, and the
obstructions in the cystic and common bile duct would be relieved with the
cholecystectomy.
The patient with sudden pain in the left upper quadrant radiating to the back and vomiting was
diagnosed with acute pancreatitis. What intervention(s) should the nurse expect to include in the
patient's plan of care?
A. Immediately start enteral feeding to prevent malnutrition.
B. Insert an NG and maintain NPO status to allow pancreas to rest.
C. Initiate early prophylactic antibiotic therapy to prevent infection.
D. Administer acetaminophen (Tylenol) every 4 hours for pain relief.
● Initial treatment with acute pancreatitis will include an NG tube if there is vomiting and
being NPO to decrease pancreatic enzyme stimulation and allow the pancreas to rest
and heal. Fluid will be administered to treat or prevent shock. The pain will be treated
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