Questions: Pancreas

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Pancreas Questions
1)Which factor is most commonly associated with the development of pancreatitis? a.Alcohol abuse
d.Pancreatic duct obstruction

2)Which action of pancreatic enzymes can cause pancreatic damage? a.Utilization by the intestine
b.Auto digestion of the pancreas
c.Reflux into the pancreas
d.Clogging of the pancreatic duct

3)Which laboratory test is used to diagnose pancreatitis?
a.Amylase level
b.Hemoglobin level
c.Blood glucose level
d.White blood cell count

4)A client with pancreatitis may exhibit Cullen’s sign on physical examination. Which symptom can best describe Cullen’s sign? a.Jaundiced sclera
b.Pain that occurs with movement
c.Bluish discoloration of the left flank area
d.Bluish discoloration of the periumbilical area

5)Which factor should be the initial focus of nursing management in a client with acute pancreatitis? a.Dietary management
b.Prevention of skin breakdown
c.Management of hypoglycemia
d.Pain control

6)When admitting a client to the hospital with suspected acute pancreatitis, which electrolyte disorder would be expected? a.Hypoglycemia

7)If a gastric ulcer perforates, which action should be included in the management of the client? a.Removal of the nasogastric tube
b.Antacid administration
c.H2-receptor antagonist administration
d.Fluid and electrolyte replacement

8)A client presents to the ER with abdominal pain, weight loss, steatorrhea, and a random glucose of 417 mg/dl. The nurse should expect which diagnostic test to be ordered? a.Upper GI series
b.Lower GI series
c.Ultrasound of the abdomen

9)In alcohol-related pancreatitis, which intervention is the best way to reduce the exacerbation of pain? a.Lying in a supine position
b.Taking aspirin
c.Eating a low-fat diet
d.Abstaining from alcohol

10)A client is diagnosed with acute pancreatitis. The nurse is teaching the client about the causes. Which of the following responses is most correct? a.Gallstones
b.Crohn’s disease
c.High gastric acid levels
d.Low thyroid hormone level

11)Which test should a nurse expect to be ordered for a client with severe abdominal pain in the mid-epigastric region, back tenderness, nausea and vomiting? a.Amylase
c.Stool culture

12)The nurse is modifying the plan of care for a client who is recovering from acute pancreatitis. Which of these measures would be the most appropriate to include in the care plan? a.Eat small, frequent meals that are bland, high-carbohydrates, high-protein, and low-fat b.Consume no more than one alcoholic drink per day and limit coffee to three cups per day c.Include fruits and vegetables that are high in vitamin C and K, and increase fiber d.Maintain a diet that is low-residue, low-protein and high in calcium

13)If a pancreatitis attack has been brought on by gallbladder disease, a client may require reinforcement about the need to follow which type of diet? a.High-calorie, high-protein diet
b.High-fiber diet, encouraging fluid intake
c.Low-fat diet, avoiding heavy meals
d.Diet high in protein, calcium and vitamin D

14)A nurse is caring for a client recently diagnosed with acute pancreatitis. Which statement indicates that a short-term goal of nursing has been met? a.The client denies abdominal pain
b.The client doesn’t complain of thirst
c.The client denies pain at McBurney’s point
d.The client swallows liquids without coughing

15)Which elevated laboratory test result is most indicative of acute pancreatitis? a.Blood glucose
b.Serum amylase
c.Serum bilirubin level
d.White blood cell count

16)A 50 year old farmer is admitted to the hospital with severe back and abdominal pain, nausea and occasional vomiting, and an oral temperature of 101F. He reports drinking 6-8 beers a day. A diagnosis of...
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