3/21/25, 7:47 NU371 Week 6 PrepU: Pancreatitis Flashcards |
AM
NU371 WEEK 6 PREPU: PANCREATITIS EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Terms in this set (48)
A client being treated for pancreatitis faces Reposition the client every 2 hours.
the risk of atelectasis. Which of the
following interventions would be important
o Repositioning the client every 2 hours minimizes the risk of atelectasis in a client
to implement to minimize this risk?
who is being treated for pancreatitis. The client should be instructed to cough every
2 hours to reduce atelectasis. Monitoring the pulse oximetry helps show changes in
Reposition the client every 2 hours. respiratory status and promote early intervention, but it would do little to minimize
Monitor pulse oximetry every hour. the risk of atelectasis. Withholding oral feedings limits the reflux of bile and
Instruct the client to avoid coughing. duodenal contents into the pancreatic duct.
Withhold oral feedings for the client.
A client has been hospitalized with Cullen's sign
pancreatitis for 3 days. The nurse assesses
the client and documents the o Cullen's sign is evidenced by discoloration at the
accompanying results. The nurse realizes periumbilical area. This sign may indicate an
these findings are a manifestation of what underlying subcutaneous intraperitoneal
sign?
hemorrhage. Chvostek's sign is a facial nerve
spasm and Trousseau's sign is a carpopedal spasm;
Cullen's sign both signs occur with hypocalcemia. Broca's area,
Chvostek's sign not sign, is an area within the brain that controls
Broca's sign the motor functions involved in speech.
Trousseau's sign
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,3/21/25, 7:47 NU371 Week 6 PrepU: Pancreatitis Flashcards |
AM
Total parental nutrition (TPN) should be cannot tolerate high-glucose concentration.
used cautiously in clients with pancreatitis
because such clients: o Total parental nutrition (TPN) is used carefully in clients with pancreatitis because
some clients cannot tolerate a high-glucose concentration even with insulin
can digest high-fat foods. coverage. Intake of coffee increases the risk for gallbladder contraction, whereas
cannot tolerate high-glucose intake of high protein increases risk for hepatic encephalopathy in clients with
concentration. cirrhosis. Patients with pancreatitis should not be given high-fat foods because they
are at risk for gallbladder contraction. are difficult to digest.
are at risk for hepatic encephalopathy.
A student nurse is preparing a plan of Impaired nutrition: less than body requirements
care for a client with chronic pancreatitis.
What nursing diagnosis related to the
o While each diagnosis may be applicable to this client, the priority nursing
care of a client with chronic
diagnosis is impaired nutrition: less than body requirements. The physician, nurse,
pancreatitis is the priority?
and dietitian emphasize to the client and family the importance of avoiding alcohol
and foods that have produced abdominal pain and discomfort in the past. Oral
Nausea food or fluid intake is not permitted during the acute phase.
Disturbed body image
Anxiety
Impaired nutrition: less than body
requirements
When caring for the client with acute Hyperglycemia
pancreatitis, which alterations does the
nurse recognize is consistent with the
o Serum amylase and lipase are the laboratory markers most commonly used to
disease?
establish a diagnosis of acute pancreatitis. The white blood cell count may be
increased, and hyperglycemia and an elevated serum bilirubin level may be present.
Hypertension
Hyperglycemia
Polyuria
Leukopenia
When caring for a client with acute Positioning the client on the side with the knees flexed
pancreatitis, the nurse should use which
2/19
, 3/21/25, 7:47 NU371 Week 6 PrepU: Pancreatitis Flashcards |
AM
comfort measure? o The nurse should place the client with acute pancreatitis in a side-lying position
with knees flexed; this position promotes comfort by decreasing pressure on the
abdominal muscles. The nurse should administer an analgesic, as needed and
Encouraging frequent visits from family
ordered, before pain becomes severe, rather than once each shift. Because the
and friends
Administering frequent oral feedings client needs a quiet, restful environment during the acute disease stage, the nurse
Positioning the client on the side with the should discourage frequent visits from family and friends. Frequent oral feedings are
knees flexed contraindicated during the acute stage to allow the pancreas to rest.
Administering an analgesic once per shift,
as ordered, to prevent drug addiction
A client being treated for pancreatitis faces Use incentive spirometry every hour.
the risk of atelectasis. Which of the
following interventions would be important
o The nurse instructs the client in techniques of coughing and deep breathing and
to implement to minimize this risk?
in the use of incentive spirometry to improve respiratory function. The nurse assists
the client to perform these activities every hour. Repositioning the client every 2
Use incentive spirometry every hours minimizes the risk of atelectasis. The client should be instructed to cough
hour. Instruct the client to cough only every 2
when necessary. hours to reduce atelectasis. Monitoring pulse oximetry helps show changes in
Monitor pulse oximetry every hour.
respiratory status and promotes early intervention, but it would do little to
Withhold analgesics unless necessary. minimize the risk of atelectasis. Withholding analgesics is not an appropriate
intervention due to the severe pain associated with pancreatitis.
A client with a history of alcohol abuse Administering morphine I.V. as ordered
comes to the emergency department and
complains of abdominal pain. Laboratory
o The nurse should address the client's pain issues first by administering morphine
studies help confirm a diagnosis of acute
I.V. as ordered. Placing the client in a Semi-Fowler's position, maintaining NPO status,
pancreatitis. The client's vital signs are
and providing mouth care don't take priority over addressing the client's pain issues.
stable, but the client's pain is worsening
and radiating to his back. Which
intervention takes priority for this client?
Administering morphine I.V. as ordered
Placing the client in a semi-Fowler's
position
Maintaining nothing-by-mouth (NPO)
3/19
AM
NU371 WEEK 6 PREPU: PANCREATITIS EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Terms in this set (48)
A client being treated for pancreatitis faces Reposition the client every 2 hours.
the risk of atelectasis. Which of the
following interventions would be important
o Repositioning the client every 2 hours minimizes the risk of atelectasis in a client
to implement to minimize this risk?
who is being treated for pancreatitis. The client should be instructed to cough every
2 hours to reduce atelectasis. Monitoring the pulse oximetry helps show changes in
Reposition the client every 2 hours. respiratory status and promote early intervention, but it would do little to minimize
Monitor pulse oximetry every hour. the risk of atelectasis. Withholding oral feedings limits the reflux of bile and
Instruct the client to avoid coughing. duodenal contents into the pancreatic duct.
Withhold oral feedings for the client.
A client has been hospitalized with Cullen's sign
pancreatitis for 3 days. The nurse assesses
the client and documents the o Cullen's sign is evidenced by discoloration at the
accompanying results. The nurse realizes periumbilical area. This sign may indicate an
these findings are a manifestation of what underlying subcutaneous intraperitoneal
sign?
hemorrhage. Chvostek's sign is a facial nerve
spasm and Trousseau's sign is a carpopedal spasm;
Cullen's sign both signs occur with hypocalcemia. Broca's area,
Chvostek's sign not sign, is an area within the brain that controls
Broca's sign the motor functions involved in speech.
Trousseau's sign
1/19
,3/21/25, 7:47 NU371 Week 6 PrepU: Pancreatitis Flashcards |
AM
Total parental nutrition (TPN) should be cannot tolerate high-glucose concentration.
used cautiously in clients with pancreatitis
because such clients: o Total parental nutrition (TPN) is used carefully in clients with pancreatitis because
some clients cannot tolerate a high-glucose concentration even with insulin
can digest high-fat foods. coverage. Intake of coffee increases the risk for gallbladder contraction, whereas
cannot tolerate high-glucose intake of high protein increases risk for hepatic encephalopathy in clients with
concentration. cirrhosis. Patients with pancreatitis should not be given high-fat foods because they
are at risk for gallbladder contraction. are difficult to digest.
are at risk for hepatic encephalopathy.
A student nurse is preparing a plan of Impaired nutrition: less than body requirements
care for a client with chronic pancreatitis.
What nursing diagnosis related to the
o While each diagnosis may be applicable to this client, the priority nursing
care of a client with chronic
diagnosis is impaired nutrition: less than body requirements. The physician, nurse,
pancreatitis is the priority?
and dietitian emphasize to the client and family the importance of avoiding alcohol
and foods that have produced abdominal pain and discomfort in the past. Oral
Nausea food or fluid intake is not permitted during the acute phase.
Disturbed body image
Anxiety
Impaired nutrition: less than body
requirements
When caring for the client with acute Hyperglycemia
pancreatitis, which alterations does the
nurse recognize is consistent with the
o Serum amylase and lipase are the laboratory markers most commonly used to
disease?
establish a diagnosis of acute pancreatitis. The white blood cell count may be
increased, and hyperglycemia and an elevated serum bilirubin level may be present.
Hypertension
Hyperglycemia
Polyuria
Leukopenia
When caring for a client with acute Positioning the client on the side with the knees flexed
pancreatitis, the nurse should use which
2/19
, 3/21/25, 7:47 NU371 Week 6 PrepU: Pancreatitis Flashcards |
AM
comfort measure? o The nurse should place the client with acute pancreatitis in a side-lying position
with knees flexed; this position promotes comfort by decreasing pressure on the
abdominal muscles. The nurse should administer an analgesic, as needed and
Encouraging frequent visits from family
ordered, before pain becomes severe, rather than once each shift. Because the
and friends
Administering frequent oral feedings client needs a quiet, restful environment during the acute disease stage, the nurse
Positioning the client on the side with the should discourage frequent visits from family and friends. Frequent oral feedings are
knees flexed contraindicated during the acute stage to allow the pancreas to rest.
Administering an analgesic once per shift,
as ordered, to prevent drug addiction
A client being treated for pancreatitis faces Use incentive spirometry every hour.
the risk of atelectasis. Which of the
following interventions would be important
o The nurse instructs the client in techniques of coughing and deep breathing and
to implement to minimize this risk?
in the use of incentive spirometry to improve respiratory function. The nurse assists
the client to perform these activities every hour. Repositioning the client every 2
Use incentive spirometry every hours minimizes the risk of atelectasis. The client should be instructed to cough
hour. Instruct the client to cough only every 2
when necessary. hours to reduce atelectasis. Monitoring pulse oximetry helps show changes in
Monitor pulse oximetry every hour.
respiratory status and promotes early intervention, but it would do little to
Withhold analgesics unless necessary. minimize the risk of atelectasis. Withholding analgesics is not an appropriate
intervention due to the severe pain associated with pancreatitis.
A client with a history of alcohol abuse Administering morphine I.V. as ordered
comes to the emergency department and
complains of abdominal pain. Laboratory
o The nurse should address the client's pain issues first by administering morphine
studies help confirm a diagnosis of acute
I.V. as ordered. Placing the client in a Semi-Fowler's position, maintaining NPO status,
pancreatitis. The client's vital signs are
and providing mouth care don't take priority over addressing the client's pain issues.
stable, but the client's pain is worsening
and radiating to his back. Which
intervention takes priority for this client?
Administering morphine I.V. as ordered
Placing the client in a semi-Fowler's
position
Maintaining nothing-by-mouth (NPO)
3/19
