3/21/25, 7:49 NU371 HESI Case Study: Pancreatitis Flashcards |
AM
NU371 HESI CASE STUDY: PANCREATITIS EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Terms in this set (55)
A client is admitted to the emergency department (ED) complaining of severe
abdominal and back pain with vomiting for the last 24 hours. The client was
Meet the Client diagnosed with chronic pancreatitis 2 years ago and this is the fourth admission for
an acute exacerbation of pancreatitis.
The nurse is completing the client's Emergency Department (ED)
Assessment
admission assessment.
To support the admitting diagnosis of acute b) How often alcohol is consumed and date of last drink.
pancreatitis, what information should the -
nurse obtain from the client?
Long-term use of alcohol is commonly associated with the development of chronic
a) History or current use of tobacco
pancreatitis, and alcohol ingestion is the primary cause of an acute exacerbation
products.
of pancreatitis.
b) How often alcohol is consumed
and date of last drink.
c) Medication taken in the last 24 hours.
d) Weight loss or gain in the last 6 months.
The client shares with the nurse that they -
have been drinking alcohol every day
for the last few years and admits to
drinking a little more than usual last
night. The client also reports smoking 2
packs of cigarettes a day for the last 20
years. To further evaluate the client's
condition, the health care provider
(HCP) prescribes several laboratory
tests.
Which laboratory data indicates that the c) Amylase of 982 U/L (16.4 mckat/L) and lipase of 400 U/L (6.68 ukat/L).
1/
11
, 3/21/25, 7:49 NU371 HESI Case Study: Pancreatitis Flashcards |
AM
client is experiencing acute pancreatitis? -
a) Hemoglobin (Hgb) 12.9 g/dL (129 g/L)
Serum amylase and lipase levels can increase to an excess of 3 times their normal
and hematocrit (HCT) 42% (0.42 Proportion
upper limits within 24 hours of an acute exacerbation of pancreatitis. Normal levels
of 1.0).
are amylase < 160 U/L (2.67 ukat/L) and lipase < 160 U/L (2.67 ukat/L).
b) White blood cell count of 10,000/uL
(10 x109/L).
c) Amylase of 982 U/L (16.4 mckat/L) and
lipase of 400 U/L (6.68 ukat/L).
d) Blood alcohol (ethanol) level of
75 mg/dL (16.28 mmol/L).
The ED nurse starts an intravenous (IV) infusion of 5% Dextrose and sodium chloride
0.45% at 125 mL/hour with a 20 gauge angiocatheter in the client's left forearm. The
Emergency Department Nursing client complains of severe abdominal pain rated 9 on a 0-10 numerical pain scale.
Interventions The client's abdomen is soft and tender in the upper quadrants. The nurse notes
audible bowel sounds in all 4 quadrants. Click for Image
Which medication should the nurse expect c) Morphine 5 mg IV push administered diluted over 5 minutes.
to administer to relieve the client's pain? -
a)Ondansetron 0.15 mg IV push diluted
Morphine is considered a first line opioid analgesic and one of the most commonly
and administered over 15 minutes.
prescribed opioids for moderate to severe pain.
b) Ranitidine IV piggy back
administered over 30 minutes.
c) Morphine 5 mg IV push administered
diluted over 5 minutes.
d) Promethazine 25 mg deep
intramuscular injection.
The HCP writes admitting prescriptions for -
the client.
Which diet should the nurse expect the d) Nothing by mouth.
HCP to prescribe for the client? -
a) Regular diet.
All oral intake is withheld to inhibit pancreatic stimulation and the secretion of
b) Low-fat diet. pancreatic enzymes.
c) Clear-liquid diet.
d) Nothing by mouth.
The ED nurse prepares to transfer the client -
to the medical floor.
Which intervention should the nurse A) Insert a nasogastric tube and connect to low, intermittent suction.
implement prior to transferring the client to -
the floor?
Nasogastric suction is used to relieve nausea and vomiting, to decrease painful
2/
11
AM
NU371 HESI CASE STUDY: PANCREATITIS EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Terms in this set (55)
A client is admitted to the emergency department (ED) complaining of severe
abdominal and back pain with vomiting for the last 24 hours. The client was
Meet the Client diagnosed with chronic pancreatitis 2 years ago and this is the fourth admission for
an acute exacerbation of pancreatitis.
The nurse is completing the client's Emergency Department (ED)
Assessment
admission assessment.
To support the admitting diagnosis of acute b) How often alcohol is consumed and date of last drink.
pancreatitis, what information should the -
nurse obtain from the client?
Long-term use of alcohol is commonly associated with the development of chronic
a) History or current use of tobacco
pancreatitis, and alcohol ingestion is the primary cause of an acute exacerbation
products.
of pancreatitis.
b) How often alcohol is consumed
and date of last drink.
c) Medication taken in the last 24 hours.
d) Weight loss or gain in the last 6 months.
The client shares with the nurse that they -
have been drinking alcohol every day
for the last few years and admits to
drinking a little more than usual last
night. The client also reports smoking 2
packs of cigarettes a day for the last 20
years. To further evaluate the client's
condition, the health care provider
(HCP) prescribes several laboratory
tests.
Which laboratory data indicates that the c) Amylase of 982 U/L (16.4 mckat/L) and lipase of 400 U/L (6.68 ukat/L).
1/
11
, 3/21/25, 7:49 NU371 HESI Case Study: Pancreatitis Flashcards |
AM
client is experiencing acute pancreatitis? -
a) Hemoglobin (Hgb) 12.9 g/dL (129 g/L)
Serum amylase and lipase levels can increase to an excess of 3 times their normal
and hematocrit (HCT) 42% (0.42 Proportion
upper limits within 24 hours of an acute exacerbation of pancreatitis. Normal levels
of 1.0).
are amylase < 160 U/L (2.67 ukat/L) and lipase < 160 U/L (2.67 ukat/L).
b) White blood cell count of 10,000/uL
(10 x109/L).
c) Amylase of 982 U/L (16.4 mckat/L) and
lipase of 400 U/L (6.68 ukat/L).
d) Blood alcohol (ethanol) level of
75 mg/dL (16.28 mmol/L).
The ED nurse starts an intravenous (IV) infusion of 5% Dextrose and sodium chloride
0.45% at 125 mL/hour with a 20 gauge angiocatheter in the client's left forearm. The
Emergency Department Nursing client complains of severe abdominal pain rated 9 on a 0-10 numerical pain scale.
Interventions The client's abdomen is soft and tender in the upper quadrants. The nurse notes
audible bowel sounds in all 4 quadrants. Click for Image
Which medication should the nurse expect c) Morphine 5 mg IV push administered diluted over 5 minutes.
to administer to relieve the client's pain? -
a)Ondansetron 0.15 mg IV push diluted
Morphine is considered a first line opioid analgesic and one of the most commonly
and administered over 15 minutes.
prescribed opioids for moderate to severe pain.
b) Ranitidine IV piggy back
administered over 30 minutes.
c) Morphine 5 mg IV push administered
diluted over 5 minutes.
d) Promethazine 25 mg deep
intramuscular injection.
The HCP writes admitting prescriptions for -
the client.
Which diet should the nurse expect the d) Nothing by mouth.
HCP to prescribe for the client? -
a) Regular diet.
All oral intake is withheld to inhibit pancreatic stimulation and the secretion of
b) Low-fat diet. pancreatic enzymes.
c) Clear-liquid diet.
d) Nothing by mouth.
The ED nurse prepares to transfer the client -
to the medical floor.
Which intervention should the nurse A) Insert a nasogastric tube and connect to low, intermittent suction.
implement prior to transferring the client to -
the floor?
Nasogastric suction is used to relieve nausea and vomiting, to decrease painful
2/
11
