Question 1

What is most characteristic of acute pancreatitis?

Accepted Answer

A)Regardless of the precipitating factor, the pathophysiologic process of acute pancreatitis begins with the release of activated pancreatic enzymes into pancreatic tissue. Activated proteolytic enzymes, trypsin in particular, digest pancreatic tissue and activate other enzymes such as phospholipase A, which digests cell membrane phospholipids, and elastase, which digests the elastic tissue of blood vessel walls. The problem is not distension of the pancreas with fluid, the cessation of enzyme production, or the pancreas needing to be removed.
B)Regardless of the precipitating factor, the pathophysiologic process of acute pancreatitis begins with the release of activated pancreatic enzymes into pancreatic tissue. Activated proteolytic enzymes, trypsin in particular, digest pancreatic tissue and activate other enzymes such as phospholipase A, which digests cell membrane phospholipids, and elastase, which digests the elastic tissue of blood vessel walls. The problem is not distension of the pancreas with fluid, the cessation of enzyme production, or the pancreas needing to be removed.
C)Regardless of the precipitating factor, the pathophysiologic process of acute pancreatitis begins with the release of activated pancreatic enzymes into pancreatic tissue. Activated proteolytic enzymes, trypsin in particular, digest pancreatic tissue and activate other enzymes such as phospholipase A, which digests cell membrane phospholipids, and elastase, which digests the elastic tissue of blood vessel walls. The problem is not distension of the pancreas with fluid, the cessation of enzyme production, or the pancreas needing to be removed.
D)Regardless of the precipitating factor, the pathophysiologic process of acute pancreatitis begins with the release of activated pancreatic enzymes into pancreatic tissue. Activated proteolytic enzymes, trypsin in particular, digest pancreatic tissue and activate other enzymes such as phospholipase A, which digests cell membrane phospholipids, and elastase, which digests the elastic tissue of blood vessel walls. The problem is not distension of the pancreas with fluid, the cessation of enzyme production, or the pancreas needing to be removed.

Question 2

A nurse is caring for an infant postsurgery for pyloric stenosis. Which nursing interventions are appropriate when providing care for this infant? Select all that apply.

Accepted Answer

A)Nursing interventions for an infant postsurgery for pyloric stenosis include administering analgesics, per order; instructing the parents on proper diapering to avoid pressure on the incision; and encouraging swaddling and rocking to facilitate relaxation. Postoperatively the incision is covered with collodion or Steri-Strips and should be kept clean and dry. The parents should be taught to allow the Steri-Strips to come off on their own. The infant's temperature should be monitored every 4 hours due to the increased risk for infection.
B)Nursing interventions for an infant postsurgery for pyloric stenosis include administering analgesics, per order; instructing the parents on proper diapering to avoid pressure on the incision; and encouraging swaddling and rocking to facilitate relaxation. Postoperatively the incision is covered with collodion or Steri-Strips and should be kept clean and dry. The parents should be taught to allow the Steri-Strips to come off on their own. The infant's temperature should be monitored every 4 hours due to the increased risk for infection.
C)Nursing interventions for an infant postsurgery for pyloric stenosis include administering analgesics, per order; instructing the parents on proper diapering to avoid pressure on the incision; and encouraging swaddling and rocking to facilitate relaxation. Postoperatively the incision is covered with collodion or Steri-Strips and should be kept clean and dry. The parents should be taught to allow the Steri-Strips to come off on their own. The infant's temperature should be monitored every 4 hours due to the increased risk for infection.
D)Nursing interventions for an infant postsurgery for pyloric stenosis include administering analgesics, per order; instructing the parents on proper diapering to avoid pressure on the incision; and encouraging swaddling and rocking to facilitate relaxation. Postoperatively the incision is covered with collodion or Steri-Strips and should be kept clean and dry. The parents should be taught to allow the Steri-Strips to come off on their own. The infant's temperature should be monitored every 4 hours due to the increased risk for infection.
E)Nursing interventions for an infant postsurgery for pyloric stenosis include administering analgesics, per order; instructing the parents on proper diapering to avoid pressure on the incision; and encouraging swaddling and rocking to facilitate relaxation. Postoperatively the incision is covered with collodion or Steri-Strips and should be kept clean and dry. The parents should be taught to allow the Steri-Strips to come off on their own. The infant's temperature should be monitored every 4 hours due to the increased risk for infection.

Question 3

Which of the following clients is most likely to develop adult pyloric stenosis?

Accepted Answer

A)The 44-year-old male client, because of his age, gender, and complaint of gastritis, is the most likely of these clients to develop adult pyloric stenosis. Although adult pyloric stenosis is uncommon, it occurs most commonly in middle-aged men. When it does occur in adults, pyloric stenosis may be classified as primary or secondary. The primary type can occur without an apparent cause. The secondary type is the result of other problems in the GI tract such as ulcer, hernia, a malignancy, or gastritis.
B)The 44-year-old male client, because of his age, gender, and complaint of gastritis, is the most likely of these clients to develop adult pyloric stenosis. Although adult pyloric stenosis is uncommon, it occurs most commonly in middle-aged men. When it does occur in adults, pyloric stenosis may be classified as primary or secondary. The primary type can occur without an apparent cause. The secondary type is the result of other problems in the GI tract such as ulcer, hernia, a malignancy, or gastritis.
C)The 44-year-old male client, because of his age, gender, and complaint of gastritis, is the most likely of these clients to develop adult pyloric stenosis. Although adult pyloric stenosis is uncommon, it occurs most commonly in middle-aged men. When it does occur in adults, pyloric stenosis may be classified as primary or secondary. The primary type can occur without an apparent cause. The secondary type is the result of other problems in the GI tract such as ulcer, hernia, a malignancy, or gastritis.
D)The 44-year-old male client, because of his age, gender, and complaint of gastritis, is the most likely of these clients to develop adult pyloric stenosis. Although adult pyloric stenosis is uncommon, it occurs most commonly in middle-aged men. When it does occur in adults, pyloric stenosis may be classified as primary or secondary. The primary type can occur without an apparent cause. The secondary type is the result of other problems in the GI tract such as ulcer, hernia, a malignancy, or gastritis.

Question 4

A 28-year-old pregnant client presents with epigastric pain, back pain, anorexia, nausea, vomiting, and jaundice. What diagnostic test should the nurse expect to be performed on this client to determine the presence of gallstones?

Accepted Answer

A)Acute pancreatitis in pregnancy is relatively rare, occurring in roughly 3 of every 10,000 pregnancies. The majority of cases are the result of gallstones that obstruct pancreatic outflow. Pregnant clients may present with epigastric pain, back pain, anorexia, and jaundice. Nausea and vomiting are also common. Although the other tests are used in the diagnosis of pancreatitis, sonography is the imaging method of choice in pregnant clients because it is safe for the fetus and has a high sensitivity to gallstones.
B)Acute pancreatitis in pregnancy is relatively rare, occurring in roughly 3 of every 10,000 pregnancies. The majority of cases are the result of gallstones that obstruct pancreatic outflow. Pregnant clients may present with epigastric pain, back pain, anorexia, and jaundice. Nausea and vomiting are also common. Although the other tests are used in the diagnosis of pancreatitis, sonography is the imaging method of choice in pregnant clients because it is safe for the fetus and has a high sensitivity to gallstones.
C)Acute pancreatitis in pregnancy is relatively rare, occurring in roughly 3 of every 10,000 pregnancies. The majority of cases are the result of gallstones that obstruct pancreatic outflow. Pregnant clients may present with epigastric pain, back pain, anorexia, and jaundice. Nausea and vomiting are also common. Although the other tests are used in the diagnosis of pancreatitis, sonography is the imaging method of choice in pregnant clients because it is safe for the fetus and has a high sensitivity to gallstones.
D)Acute pancreatitis in pregnancy is relatively rare, occurring in roughly 3 of every 10,000 pregnancies. The majority of cases are the result of gallstones that obstruct pancreatic outflow. Pregnant clients may present with epigastric pain, back pain, anorexia, and jaundice. Nausea and vomiting are also common. Although the other tests are used in the diagnosis of pancreatitis, sonography is the imaging method of choice in pregnant clients because it is safe for the fetus and has a high sensitivity to gallstones.

Question 5

A new mother brings a male infant, 2 weeks old, to the pediatric clinic for a checkup. The mother is concerned that the infant may be at risk for pyloric stenosis due to his age and because her husband had surgery for the condition when he was an infant. Which responses by the nurse are the most appropriate based on this data?

Accepted Answer

A)The infant is at a greater risk for developing pyloric stenosis because of the familial history. Pyloric stenosis is more common in males than females. The mother's age is not correlated with an increased risk of pyloric stenosis. While bowel movements are important, this is not indicative of not having pyloric stenosis.
B)The infant is at a greater risk for developing pyloric stenosis because of the familial history. Pyloric stenosis is more common in males than females. The mother's age is not correlated with an increased risk of pyloric stenosis. While bowel movements are important, this is not indicative of not having pyloric stenosis.
C)The infant is at a greater risk for developing pyloric stenosis because of the familial history. Pyloric stenosis is more common in males than females. The mother's age is not correlated with an increased risk of pyloric stenosis. While bowel movements are important, this is not indicative of not having pyloric stenosis.
D)The infant is at a greater risk for developing pyloric stenosis because of the familial history. Pyloric stenosis is more common in males than females. The mother's age is not correlated with an increased risk of pyloric stenosis. While bowel movements are important, this is not indicative of not having pyloric stenosis.

Question 6

A nurse is providing care to an infant who underwent a laparoscopic pyloromyotomy. After providing discharge instructions to the infant's caregivers, which statements indicate appropriate understanding? Select all that apply.

Accepted Answer

A)Appropriate care for an infant after a laparoscopic pyloromyotomy includes burping the infant after every 1-2 ounces of formula and sliding the diaper under the baby versus pulling on the legs in order to decrease the pressure on the incision site. The baby should be fed on demand, not three times per day. The infant should be held upright for 30 minutes after each feeding. The incision site should be kept clean and dry.
B)Appropriate care for an infant after a laparoscopic pyloromyotomy includes burping the infant after every 1-2 ounces of formula and sliding the diaper under the baby versus pulling on the legs in order to decrease the pressure on the incision site. The baby should be fed on demand, not three times per day. The infant should be held upright for 30 minutes after each feeding. The incision site should be kept clean and dry.
C)Appropriate care for an infant after a laparoscopic pyloromyotomy includes burping the infant after every 1-2 ounces of formula and sliding the diaper under the baby versus pulling on the legs in order to decrease the pressure on the incision site. The baby should be fed on demand, not three times per day. The infant should be held upright for 30 minutes after each feeding. The incision site should be kept clean and dry.
D)Appropriate care for an infant after a laparoscopic pyloromyotomy includes burping the infant after every 1-2 ounces of formula and sliding the diaper under the baby versus pulling on the legs in order to decrease the pressure on the incision site. The baby should be fed on demand, not three times per day. The infant should be held upright for 30 minutes after each feeding. The incision site should be kept clean and dry.
E)Appropriate care for an infant after a laparoscopic pyloromyotomy includes burping the infant after every 1-2 ounces of formula and sliding the diaper under the baby versus pulling on the legs in order to decrease the pressure on the incision site. The baby should be fed on demand, not three times per day. The infant should be held upright for 30 minutes after each feeding. The incision site should be kept clean and dry.

Question 7

The nurse is providing care to an infant who underwent surgery for pyloric stenosis. Which actions by the nurse will decrease the risk for infection when caring for this infant? Select all that apply.

Accepted Answer

A)The infant who is postsurgery after the correction of pyloric stenosis will be at an increased risk for infection. Appropriate interventions include inspecting the incision site for redness, swelling, or discharge and auscultating the lungs for adventitious breath sounds which could indicate pneumonia. The nurse will monitor the infant's temperature every 4 hours. Care must be taken to decrease pressure on the incision. The infant should be provided with a sponge bath until the surgical incision has healed.
B)The infant who is postsurgery after the correction of pyloric stenosis will be at an increased risk for infection. Appropriate interventions include inspecting the incision site for redness, swelling, or discharge and auscultating the lungs for adventitious breath sounds which could indicate pneumonia. The nurse will monitor the infant's temperature every 4 hours. Care must be taken to decrease pressure on the incision. The infant should be provided with a sponge bath until the surgical incision has healed.
C)The infant who is postsurgery after the correction of pyloric stenosis will be at an increased risk for infection. Appropriate interventions include inspecting the incision site for redness, swelling, or discharge and auscultating the lungs for adventitious breath sounds which could indicate pneumonia. The nurse will monitor the infant's temperature every 4 hours. Care must be taken to decrease pressure on the incision. The infant should be provided with a sponge bath until the surgical incision has healed.
D)The infant who is postsurgery after the correction of pyloric stenosis will be at an increased risk for infection. Appropriate interventions include inspecting the incision site for redness, swelling, or discharge and auscultating the lungs for adventitious breath sounds which could indicate pneumonia. The nurse will monitor the infant's temperature every 4 hours. Care must be taken to decrease pressure on the incision. The infant should be provided with a sponge bath until the surgical incision has healed.
E)The infant who is postsurgery after the correction of pyloric stenosis will be at an increased risk for infection. Appropriate interventions include inspecting the incision site for redness, swelling, or discharge and auscultating the lungs for adventitious breath sounds which could indicate pneumonia. The nurse will monitor the infant's temperature every 4 hours. Care must be taken to decrease pressure on the incision. The infant should be provided with a sponge bath until the surgical incision has healed.

Question 8

The nurse is caring for an infant who is admitted for possible pyloric stenosis. When assessing the infant, which actions are appropriate? Select all that apply.

Accepted Answer

A)During the assessment of an infant suspected of having pyloric stenosis, the nurse will observe the infant's abdomen for a peristaltic wave, auscultate the bowel sounds, and palpate the right upper quadrant of the abdomen for an olive-shaped mass. Providing oral feedings and passing a nasogastric tube are nursing interventions and not tasks that are completed during the assessment process.
B)During the assessment of an infant suspected of having pyloric stenosis, the nurse will observe the infant's abdomen for a peristaltic wave, auscultate the bowel sounds, and palpate the right upper quadrant of the abdomen for an olive-shaped mass. Providing oral feedings and passing a nasogastric tube are nursing interventions and not tasks that are completed during the assessment process.
C)During the assessment of an infant suspected of having pyloric stenosis, the nurse will observe the infant's abdomen for a peristaltic wave, auscultate the bowel sounds, and palpate the right upper quadrant of the abdomen for an olive-shaped mass. Providing oral feedings and passing a nasogastric tube are nursing interventions and not tasks that are completed during the assessment process.
D)During the assessment of an infant suspected of having pyloric stenosis, the nurse will observe the infant's abdomen for a peristaltic wave, auscultate the bowel sounds, and palpate the right upper quadrant of the abdomen for an olive-shaped mass. Providing oral feedings and passing a nasogastric tube are nursing interventions and not tasks that are completed during the assessment process.
E)During the assessment of an infant suspected of having pyloric stenosis, the nurse will observe the infant's abdomen for a peristaltic wave, auscultate the bowel sounds, and palpate the right upper quadrant of the abdomen for an olive-shaped mass. Providing oral feedings and passing a nasogastric tube are nursing interventions and not tasks that are completed during the assessment process.

Question 9

The nurse is caring for an infant who is scheduled for surgery for pyloric stenosis. When planning the infant's care, which nursing diagnoses are appropriate? Select all that apply.

Accepted Answer

A)Appropriate nursing diagnoses to include in the infant's plan of care include Deficient Fluid Volume due to poor intake and vomiting; Sleep Pattern Disturbance related to the discomfort and hunger; Parental Anxiety related to the need for surgical correction; and Imbalanced Nutrition: Less than Body Requirements due to inadequate intake and vomiting. Jaundice is not a clinical manifestation of pyloric stenosis.
B)Appropriate nursing diagnoses to include in the infant's plan of care include Deficient Fluid Volume due to poor intake and vomiting; Sleep Pattern Disturbance related to the discomfort and hunger; Parental Anxiety related to the need for surgical correction; and Imbalanced Nutrition: Less than Body Requirements due to inadequate intake and vomiting. Jaundice is not a clinical manifestation of pyloric stenosis.
C)Appropriate nursing diagnoses to include in the infant's plan of care include Deficient Fluid Volume due to poor intake and vomiting; Sleep Pattern Disturbance related to the discomfort and hunger; Parental Anxiety related to the need for surgical correction; and Imbalanced Nutrition: Less than Body Requirements due to inadequate intake and vomiting. Jaundice is not a clinical manifestation of pyloric stenosis.
D)Appropriate nursing diagnoses to include in the infant's plan of care include Deficient Fluid Volume due to poor intake and vomiting; Sleep Pattern Disturbance related to the discomfort and hunger; Parental Anxiety related to the need for surgical correction; and Imbalanced Nutrition: Less than Body Requirements due to inadequate intake and vomiting. Jaundice is not a clinical manifestation of pyloric stenosis.
E)Appropriate nursing diagnoses to include in the infant's plan of care include Deficient Fluid Volume due to poor intake and vomiting; Sleep Pattern Disturbance related to the discomfort and hunger; Parental Anxiety related to the need for surgical correction; and Imbalanced Nutrition: Less than Body Requirements due to inadequate intake and vomiting. Jaundice is not a clinical manifestation of pyloric stenosis.

Question 10

A 63-year-old client is diagnosed with chronic pancreatitis. In planning care for this patient, which of the following treatments should the nurse expect to increase the patient's risk for edema?

Accepted Answer

A)Treatment for older adults is similar to that for other populations, so pancreatic enzyme replacement with administration of pancrelipase, insertion of a nasogastric tube, and total parenteral nutrition are all indicated, but aggressive use of IV fluids to maintain vascular volume is more likely to lead to edema in older adults and may not have the desired effect on renal function.
B)Treatment for older adults is similar to that for other populations, so pancreatic enzyme replacement with administration of pancrelipase, insertion of a nasogastric tube, and total parenteral nutrition are all indicated, but aggressive use of IV fluids to maintain vascular volume is more likely to lead to edema in older adults and may not have the desired effect on renal function.
C)Treatment for older adults is similar to that for other populations, so pancreatic enzyme replacement with administration of pancrelipase, insertion of a nasogastric tube, and total parenteral nutrition are all indicated, but aggressive use of IV fluids to maintain vascular volume is more likely to lead to edema in older adults and may not have the desired effect on renal function.
D)Treatment for older adults is similar to that for other populations, so pancreatic enzyme replacement with administration of pancrelipase, insertion of a nasogastric tube, and total parenteral nutrition are all indicated, but aggressive use of IV fluids to maintain vascular volume is more likely to lead to edema in older adults and may not have the desired effect on renal function.

Question 11

The nurse is providing care to a 1-month-old infant who is brought to the pediatric clinic for projectile vomiting. Which data collected during the assessment process would support the diagnosis of pyloric stenosis? Select all that apply.

Accepted Answer

A)Along with the projectile vomiting, the nurse would expect reports of blood-tinged vomit, persistent hunger, and a peristaltic wave. A low-grade fever and weight gain are not expected. The infant may lose weight due to pyloric stenosis.
B)Along with the projectile vomiting, the nurse would expect reports of blood-tinged vomit, persistent hunger, and a peristaltic wave. A low-grade fever and weight gain are not expected. The infant may lose weight due to pyloric stenosis.
C)Along with the projectile vomiting, the nurse would expect reports of blood-tinged vomit, persistent hunger, and a peristaltic wave. A low-grade fever and weight gain are not expected. The infant may lose weight due to pyloric stenosis.
D)Along with the projectile vomiting, the nurse would expect reports of blood-tinged vomit, persistent hunger, and a peristaltic wave. A low-grade fever and weight gain are not expected. The infant may lose weight due to pyloric stenosis.
E)Along with the projectile vomiting, the nurse would expect reports of blood-tinged vomit, persistent hunger, and a peristaltic wave. A low-grade fever and weight gain are not expected. The infant may lose weight due to pyloric stenosis.

Question 12

The nurse is providing care to an older adult client with a history of alcohol abuse who is admitted to the hospital with acute pancreatitis. Which treatment options should the nurse plan for when caring for this client? Select all that apply.

Accepted Answer

A)A client admitted with acute pancreatitis will be NPO until serum amylase levels have returned to normal, bowel sounds are present, and pain disappears. Opioid analgesics are often necessary for the acute pain experienced by the client. Total parenteral nutrition is initiated and a nasogastric tube is inserted and connected to suction. A low-fat, not a high-fat, diet will be implemented once the client is able to eat by mouth. Pancrelipase is prescribed for clients with chronic pancreatitis, not acute pancreatitis.
B)A client admitted with acute pancreatitis will be NPO until serum amylase levels have returned to normal, bowel sounds are present, and pain disappears. Opioid analgesics are often necessary for the acute pain experienced by the client. Total parenteral nutrition is initiated and a nasogastric tube is inserted and connected to suction. A low-fat, not a high-fat, diet will be implemented once the client is able to eat by mouth. Pancrelipase is prescribed for clients with chronic pancreatitis, not acute pancreatitis.
C)A client admitted with acute pancreatitis will be NPO until serum amylase levels have returned to normal, bowel sounds are present, and pain disappears. Opioid analgesics are often necessary for the acute pain experienced by the client. Total parenteral nutrition is initiated and a nasogastric tube is inserted and connected to suction. A low-fat, not a high-fat, diet will be implemented once the client is able to eat by mouth. Pancrelipase is prescribed for clients with chronic pancreatitis, not acute pancreatitis.
D)A client admitted with acute pancreatitis will be NPO until serum amylase levels have returned to normal, bowel sounds are present, and pain disappears. Opioid analgesics are often necessary for the acute pain experienced by the client. Total parenteral nutrition is initiated and a nasogastric tube is inserted and connected to suction. A low-fat, not a high-fat, diet will be implemented once the client is able to eat by mouth. Pancrelipase is prescribed for clients with chronic pancreatitis, not acute pancreatitis.
E)A client admitted with acute pancreatitis will be NPO until serum amylase levels have returned to normal, bowel sounds are present, and pain disappears. Opioid analgesics are often necessary for the acute pain experienced by the client. Total parenteral nutrition is initiated and a nasogastric tube is inserted and connected to suction. A low-fat, not a high-fat, diet will be implemented once the client is able to eat by mouth. Pancrelipase is prescribed for clients with chronic pancreatitis, not acute pancreatitis.

Question 13

An adult client is admitted to the emergency department with symptoms of acute pancreatitis. Which nursing diagnoses are appropriate for this client? Select all that apply.

Accepted Answer

A)Acute pancreatitis develops suddenly, typically with an abrupt onset of continuous severe epigastric and abdominal pain. Systemic complications of acute pancreatitis include intravascular volume depletion. Other manifestations of acute pancreatitis include nausea and vomiting, which result in imbalanced nutrition. Impaired swallowing is not associated with pancreatitis.
B)Acute pancreatitis develops suddenly, typically with an abrupt onset of continuous severe epigastric and abdominal pain. Systemic complications of acute pancreatitis include intravascular volume depletion. Other manifestations of acute pancreatitis include nausea and vomiting, which result in imbalanced nutrition. Impaired swallowing is not associated with pancreatitis.
C)Acute pancreatitis develops suddenly, typically with an abrupt onset of continuous severe epigastric and abdominal pain. Systemic complications of acute pancreatitis include intravascular volume depletion. Other manifestations of acute pancreatitis include nausea and vomiting, which result in imbalanced nutrition. Impaired swallowing is not associated with pancreatitis.
D)Acute pancreatitis develops suddenly, typically with an abrupt onset of continuous severe epigastric and abdominal pain. Systemic complications of acute pancreatitis include intravascular volume depletion. Other manifestations of acute pancreatitis include nausea and vomiting, which result in imbalanced nutrition. Impaired swallowing is not associated with pancreatitis.
E)Acute pancreatitis develops suddenly, typically with an abrupt onset of continuous severe epigastric and abdominal pain. Systemic complications of acute pancreatitis include intravascular volume depletion. Other manifestations of acute pancreatitis include nausea and vomiting, which result in imbalanced nutrition. Impaired swallowing is not associated with pancreatitis.

Question 14

A client 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 outcomes would indicate that the client has implemented the recommendations? Select all that apply.

Accepted Answer

A)Indications that would suggest that the client has implemented the recommendations include a reduction or elimination of pain; freedom from alterations in nutritional status; freedom from alterations in fluid balance; and freedom from nausea. Employment is not an evaluative measure for managing acute pancreatitis.
B)Indications that would suggest that the client has implemented the recommendations include a reduction or elimination of pain; freedom from alterations in nutritional status; freedom from alterations in fluid balance; and freedom from nausea. Employment is not an evaluative measure for managing acute pancreatitis.
C)Indications that would suggest that the client has implemented the recommendations include a reduction or elimination of pain; freedom from alterations in nutritional status; freedom from alterations in fluid balance; and freedom from nausea. Employment is not an evaluative measure for managing acute pancreatitis.
D)Indications that would suggest that the client has implemented the recommendations include a reduction or elimination of pain; freedom from alterations in nutritional status; freedom from alterations in fluid balance; and freedom from nausea. Employment is not an evaluative measure for managing acute pancreatitis.
E)Indications that would suggest that the client has implemented the recommendations include a reduction or elimination of pain; freedom from alterations in nutritional status; freedom from alterations in fluid balance; and freedom from nausea. Employment is not an evaluative measure for managing acute pancreatitis.

Question 15

A 42-year-old male client is diagnosed with adult pyloric stenosis. Which of the following symptoms would the nurse least expect to encounter in this client?

Accepted Answer

A)The nurse would not expect to find an increase of appetite in this client. Symptoms of adult pyloric stenosis include weight loss, easy satiety, loss of appetite, and gradual increase of upper abdominal pain. Nausea and vomiting are also common.
B)The nurse would not expect to find an increase of appetite in this client. Symptoms of adult pyloric stenosis include weight loss, easy satiety, loss of appetite, and gradual increase of upper abdominal pain. Nausea and vomiting are also common.
C)The nurse would not expect to find an increase of appetite in this client. Symptoms of adult pyloric stenosis include weight loss, easy satiety, loss of appetite, and gradual increase of upper abdominal pain. Nausea and vomiting are also common.
D)The nurse would not expect to find an increase of appetite in this client. Symptoms of adult pyloric stenosis include weight loss, easy satiety, loss of appetite, and gradual increase of upper abdominal pain. Nausea and vomiting are also common.

Quiz 4: Digestion