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HESI Patient Review1.docx

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Exam of 3 pages for the course NR 509 at Chamberlain College Nursing (HESI Patient R)

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HESI Patient Reviews--Adult Health-
Gastrointestinal (Mrs. Barker)
1. You recall what you know about the pathophysiology of acute pancreatitis. Which of the following
best describes acute pancreatitis? - Pancreatic enzymes attack pancreatic cells and cause tissue damage.



2. You know that a diagnosis of acute pancreatitis is often made on the basis of symptoms and elevation
of which of the following serum lab values? (Select 2) - -Amylase

-Lipase



3. Mrs. Barker symptoms include severe abdominal pain, and nausea and vomiting. You assess Mrs.
Barker for other signs and symptoms that are common with acute pancreatitis. Which of the following
do you expect? - Abdominal distention



4. Since Mrs. Barker has abdominal symptoms that need to be monitored for changes, your assessment
includes her abdomen. You inspect her abdomen, which is distended. After inspection of Mrs. Barker's
abdomen, which of the following should you do next? - Auscultation of the abdomen



5. Because of Mrs. Barker's long-term alcohol abuse, you realize she may experience alcohol withdrawal.
Which of the following should you observe for at this time? (Select 5) - -Anxiety

-Agitation

-Tremors

-Irritability

-Diaphoresis



6. Which of the following opioid drugs is recommended for relief of severe pain in patients with acute
pancreatitis? - Morphine



7.Pain control and comfort are a priority for Mrs. Barker. Which bed position should be encouraged? -
Side-lying with hips and knees flexed

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