Deck 60: Coordinating Care for Patients With Biliary and Pancreatic Disorders

Question 1

The nurse is conducting patient education regarding prescribed drugs for acute pancreatitis.Which agent should the nurse include as one that is used for pain management?

A) Spasmolytics
B) H₂ Antagonist
C) Opioid narcotics
D) Pancreatic enzymes

Answer 1

Opioid narcotics

Question 2

A patient diagnosed with chronic pancreatitis asks if there are any alternative therapies that might help with treating the condition.Which alternative and complementary therapy is inappropriate to include in the teaching session with this patient?

A) Qigong
B) Herbal kava tea
C) Magnetic field therapy
D) Low-salt,low-fat vegetarian diet

Answer 2

Herbal kava tea

Question 3

The nurse is conducting patient education regarding prescribed drugs for acute pancreatitis.Which agent should the nurse include as one that is used to decrease gastric acid secretions?

A) Spasmolytics
B) H₂ Antagonist
C) Opioid narcotics
D) Pancreatic enzymes

Answer 3

H₂ Antagonist

Question 4

Which patient data supports Ranson's criteria for acute pancreatitis at admission?

A) Patient age is 43 years
B) WBC less than 16,000/mL
C) BUN greater than 5 mg/dL
D) Glucose greater than 200 mg/dL

Question 5

The nurse is providing care to a patient who is being admitted to rule out acute pancreatitis.Which item found in the patient's history increases the patient's risk for this disease process?

A) Systemic lupus
B) Alcoholism
C) Cystic fibrosis
D) Hypertriglyceridemia

Question 6

The nurse is teaching a patient about the approved therapeutic agents for acute pancreatitis.Which patient statement indicates the need for further education?

A) "Opioids are used to treat pain."
B) "Spasmolytics are used to relax the sphincter of Oddi."
C) "Proton pump inhibitors are used to increase gastric acid secretions."
D) "Anticholinergics are used to decrease the release of pancreatic enzymes."

Question 7

The nurse is asked to explain the common laboratory values associated with acute pancreatitis.Which should the nurse include as the cause of an elevated WBC count?

A) Poor nutrition
B) Gallstone pancreatitis
C) Inflammatory process
D) Fat necrosis and malnutrition

Question 8

Which data collected during the health history places the patient at risk for acalculous cholecystitis?

A) Spider bite
B) Gallstones
C) Sickle cell disease
D) Diabetes insipidus

Question 9

The nurse is providing care to a patient who is diagnosed with acute necrotizing pancreatitis.Which agent should the nurse anticipate to be prescribed for this patient?

A) Antibiotic
B) Octreotide
C) Histamine antagonist
D) Proton pump inhibitor

Question 10

The nurse is asked to explain the common laboratory values associated with acute pancreatitis.Which should the nurse include as the cause of an elevated AST?

A) Poor nutrition
B) Bile flow obstruction
C) Gallstone pancreatitis
D) Fat necrosis and malnutrition

Question 11

The nurse is asked to explain the common laboratory values associated with acute pancreatitis.Which should the nurse include as the cause of hypocalcemia?

A) Poor nutrition
B) Bile flow obstruction
C) Gallstone pancreatitis
D) Fat necrosis and malnutrition

Question 12

The nurse is conducting patient education regarding prescribed drugs for acute pancreatitis.Which agent should the nurse include as one that is used to relax smooth muscle and the sphincter of Oddi?

A) Spasmolytics
B) H₂ Antagonist
C) Opioid narcotics
D) Pancreatic enzymes

Question 13

The nurse is asked to explain the common laboratory values associated with acute pancreatitis.Which should the nurse include as the cause of an elevated ALT?

A) Poor nutrition
B) Bile flow obstruction
C) Gallstone pancreatitis
D) Fat necrosis and malnutrition

Question 14

Which is the priority nursing action when providing care to a patient with a nasogastric tube (NGT)in place following a pancreaticoduodenectomy?

A) Irrigating the tube
B) Checking for placement
C) Replacing the tube pulled out by the patient
D) Hanging a sign over the bed stating,"DO NOT Manipulate the NGT"

Question 15

The nurse is providing care to a patient who scores a 4 with the Ranson's score.Which conclusion by the nurse is most appropriate?

A) This patient has a 2% chance of mortality.
B) This patient has a 15% chance of mortality.
C) This patient has a 40% chance of mortality.
D) This patient has a 100% chance of mortality.

Question 16

The nurse is conducting patient education regarding prescribed drugs for acute pancreatitis.Which agent should the nurse include as one that is used for digesting fats and proteins?

A) Spasmolytics
B) H₂ Antagonist
C) Opioid narcotics
D) Pancreatic enzymes

Question 17

The nurse is reviewing the health history for a patient who is diagnosed with acute pancreatitis.Which data supports the patient's current diagnosis?

A) Trauma
B) Cystic fibrosis
C) Hypercalcemia
D) Hypertriglyceridemia

Question 18

The nurse is asked to explain the common laboratory values associated with acute pancreatitis.Which should the nurse include as the cause of decreased albumin?

A) Poor nutrition
B) Bile flow obstruction
C) Gallstone pancreatitis
D) Fat necrosis and malnutrition

Question 19

The nurse is reviewing the health history for a patient who is diagnosed with chronic pancreatitis.Which data supports the patient's current diagnosis?

A) Trauma
B) Gallstones
C) Cystic fibrosis
D) Hypotriglyceridemia

Question 20

A patient was discharged after hospitalization for acute pancreatitis with instructions on the use of analgesics,cautions on the importance of avoiding alcohol and smoking,and recommendations for a low-fat diet.Which outcome would indicate the need for further intervention by the nurse?

A) The patient continues to experience nausea.
B) The patient is free from alterations in nutritional status.
C) The patient experiences reduction or elimination of pain.
D) The patient remains free from alterations in fluid balance.

Question 21

Which assessment data collected by the nurse supports the patient's diagnosis of pancreatic cancer?

A) Weight gain
B) Hyperglycemia
C) Sharp back pain
D) Yellowing of the sclera

Question 22

The nurse is providing care to a patient who is diagnosed with gallstones.Which preferred treatment method should the nurse include in the teaching session?

A) Lithotripsy
B) Low-fat diet
C) Oral agents to dissolve the stones
D) Laparoscopic cholecystectomy

Question 23

Which data found in the patient's health history supports the current diagnosis of pancreatic cancer?

A) Nonsmoker
B) Vegetarian diet
C) Diabetes mellitus
D) Acute pancreatitis

Question 24

The nurse is providing care to a pregnant patient who is diagnosed with gallstones.Which should the nurse include in the teaching session with the patient regarding this occurrence?

A) "You are genetically at risk for developing gallstones."
B) "A diet high in saturated fat is causing your gallstones."
C) "An elevated progesterone level is causing your gallstones."
D) "Your prescribed cholesterol-lowering drug is causing your gallstones."

Question 25

The nurse is providing care to several patients in the emergency department (ED).Which patient is most likely to present with vague symptoms of cholecystitis?

A) An adolescent male patient
B) A young adult male patient
C) A pregnant woman in the second trimester
D) An older adult female patient diagnosed with diabetes