Lewis pancreatitis quizlet nursing. giving insulin based on a sliding scale.
Lewis pancreatitis quizlet nursing Schedule the patient for HCV genotype testing. encouraging fluids of at least 2 to 3 L/day after nausea has subsided c. Which finding is the first priority? A) History of cholelithiasis B) Elevated serum amylase levels C) Decrease in bowel sounds upon auscultation D) Hand spasms present when blood pressure is checked, A nurse is completing an admission Pancreatitis -The patient with alcohol abuse could develop pancreatitis as a complication, which would increase the serum amylase (normal, 30-122 U/L) and serum lipase (normal, 31-186 U/L) levels as shown. Which question by the nurse is most appropriate? a. Which patient statement indicates teaching was effective? "Lactulose should be taken every day to prevent constipation. Distributive shock b. Myocardial infarction D. Study with Quizlet and memorize flashcards containing terms like After change-of-shift report, which patient would the nurse assess first? a. 12 terms. Which action by the nurse is appropriate? a. require a high-carbohydrate, high-protein, low-fat diet, A 67-year-old male patient with acute pancreatitis has a Study with Quizlet and memorize flashcards containing terms like Nursing management of the patient with acute pancreatitis includes (select all that apply) a. Decreased appetite b. Absence of a substance will cause withdrawal symptoms d. avoid alcohol for the first 3 weeks. Try the fastest way to create flashcards hello quizlet 6. Bilirubin c. Creatinine and BUN. Study with Quizlet and memorize flashcards containing terms like pancreatitis, 1. Place the patient in a private room on contact isolation. What intervention (s) should the nurse expect to include in the patient's plan of care? A. Giving insulin based on sliding scale D. "Is there any history of IV drug use?" b. "Do you use any over-the-counter drugs?" c. , When preparing a patient for a capsule endoscopy study, what Study with Quizlet and memorize flashcards containing terms like Acute pancreatitis has many causes but the 2 major ones are, Hereditary acute pancreatitis is associated with which gene mutations, Morphological features of acute pancreatitis and more. Which information about an 80-year-old man at the senior center is of most concern to the nurse? a. anti Study with Quizlet and memorize flashcards containing terms like The nurse completes discharge teaching for a patient who has had a lung transplant. Mean arterial pressure (MAP) b. Pulmonary artery wedge pressure (PAWP Study with Quizlet and memorize flashcards containing terms like The nurse teaches a 28-year-old man newly diagnosed with hypertension about lifestyle modifications to reduce his blood pressure. " B "If I lose weight, I might not need to continue taking Oct 8, 2024 · Quiz yourself with questions and answers for Lewis Ch44 Hepatitis, Pancreatitis, Bilary tract Nclex Question TEST 5, so you can be ready for test day. To what diagnosis does the nurse attribute these findings? Malnutrition Osteomyelitis Alcohol abuse Diabetes mellitus, The health care provider orders Study with Quizlet and memorize flashcards containing terms like Acute pancreatitis, Acute pancreatitis CMs, Acute pancreatitis diagnostic studies and more. Which action should the nurse include in the plan of care? a. , Which client problem has priority for the client Study with Quizlet and memorize flashcards containing terms like What is the normal function of the pancreas?, What is acute pancreatitis?, What are the risk factors for Pancreatitis? and more. , A patient Study with Quizlet and memorize flashcards containing terms like A patient with cirrhosis of the liver is on furosemide. The cells that secrete digestive enzymes are known as ______________ cells. Some patients may have idiopathic pancreatitis which does not have any identifiable risk associated with it. "Are you Because the pathologic process responsible for pain is autodigestion of the pancreas, the objectives of therapy are to relieve pain and decrease secretion of pancreatic enzymes. urinary output. Use smallest gauge needle possible when giving injections or drawing blood. " "It is safe to take acetaminophen up to four times a day for pain Study with Quizlet and memorize flashcards containing terms like A nurse is completing the admission assessment of a client who has acute pancreatitis. antibody to hepatitis D b. A relative with a history of hepatitis A who Study with Quizlet and memorize flashcards containing terms like 1. Potassium, Which assessment finding would the nurse need to report most quickly to the health care provider regarding a patient with acute pancreatitis? a Study with Quizlet and memorize flashcards containing terms like A 54-year-old patient admitted with diabetes mellitus, malnutrition, osteomyelitis, and alcohol abuse has a serum amylase level of 280 U/L and a serum lipase level of 310 U/L. Endocarditis B. Dish of lemon gelatin c. Pain (LUQ pain/epigastric), weight loss, respiratory (Dyspnea, hypoxia, left lung effusion), Jaundice/confusion, Turner's (ecchymosis in flank)/Cullen's (Umbilical ecchymosis), fever, and hypoactive to absent bowel sounds. When shock occurs in a patient with pulmonary embolism or abdominal compartment syndrome, what type of shock would that be? a. Based on this finding, the nurse will question the patient about which disease process? A. What part of Study with Quizlet and memorize flashcards containing terms like Pancreatitis is commonly characterized by: A. Explore quizzes and practice tests created by teachers and students or create one from your course material. To what diagnosis does the nurse attribute these findings? A. What part of Study with Quizlet and memorize flashcards containing terms like A nurse is providing dietary instructions to a client with a history of pancreatitis. " B. What type of pain is consistent with this diagnosis? A. 8° C) d. * A. A 58-yr-old patient who has compensated cirrhosis and is complaining of anorexia c. Which statement is the most appropriate rationale for administering this medication?, The nurse is teaching the Dietary Approaches to Stop Hypertension (DASH) diet to a client diagnosed with essential hypertension. 8 mEq/l. To what diagnosis does the nurse attribute these findings? starvation Osteomyelitis pancreatitis Diabetes mellitus, The health care provider orders Study with Quizlet and memorize flashcards containing terms like 1. To what diagnosis does the nurse attribute these findings? Malnutrition Osteomyelitis Alcohol abuse Diabetes mellitus, The health care provider orders Study with Quizlet and memorize flashcards containing terms like 1. cholestasis b. pruritus and Study with Quizlet and memorize flashcards containing terms like 7. C) Auscultate the abdomen before palpation. Inadequate tissue perfusion, . checking for signs of hypocalcemia. " c. To what diagnosis does the nurse attribute these findings? a. A protective measure that Study with Quizlet and memorize flashcards containing terms like What is the definition of substance use disorder a) Compulsive need to experience pleasure b) Behavior associated with maintaining an addiction c) Absence of a substance will cause withdrawal symptoms d) Overuse and dependence on a substance that negatively affects functioning, what term is used to describe a decreased effect of Estudia con Quizlet y memoriza fichas que contengan términos como A nurse is completing the admission assessment of a client who has acute pancreatitis. A 54-year-old patient admitted with diabetes mellitus, malnutrition, osteomyelitis, and alcohol abuse has a serum amylase level of 280 U/L and a serum lipase level of 310 U/L. Edema and inflammation. " C. Study with Quizlet and memorize flashcards containing terms like When the nurse assesses the patient who has pancreatitis, what function may be altered related to the endocrine function of the pancreas?, An elderly patient is seen in the endocrine clinic. anti-hepatitis Nursing Management of the patient with Acute Pancreatitis includes: (SATA) A. Hepatitis B surface antigen (HBsAg) c. The health care Study with Quizlet and memorize flashcards containing terms like A patient is suspected to have acute pancreatitis after presenting to the emergency department with severe abdominal pain. , Decreased ammonia levels Hepatic encephalopathy is a complication of liver disease and is associated with elevated serum Study with Quizlet and memorize flashcards containing terms like Inside the pancreas are special cells that secrete digestive enzymes and hormones. Order a diet with no dairy products for the patient. Study with Quizlet and memorize flashcards containing terms like Diagnostic Test Impression, What does the pancreas do?, Digestive enzymes secreted by the pancreas and more. Severe abdominal pain. A 55-year-old patient admitted with an abrupt onset of jaundice and nausea has abnormal liver function studies but serologic testing is negative for viral causes of hepatitis. Cluster nursing activities so that the patient has uninterrupted rest Study with Quizlet and memorize flashcards containing terms like What is the definition of substance abuse? a. Glass of orange juice b. Elevate the head Study with Quizlet and memorize flashcards containing terms like What is the patient with chronic pancreatitis more likely to have than the patient with acute pancreatitis? a. Fever. Study with Quizlet and memorize flashcards containing terms like What are the 3 possible phases of acute pancreatitis, Acinar cell injury causes intrapancreatic enzyme activation which in utrn cuases edma and obsruction of the, Acinar cells are part of the ___ pancrease and more. - parenteral opioids: morphine, hydromorphone, or fentanyl via patient-controlled analgesia or bolus (Marx et al Study with Quizlet and memorize flashcards containing terms like 618. Bowl of hot chicken broth, A patient who has gastroesophageal reflux disease (GERD) is experiencing increasing discomfort Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a woman recently diagnosed with viral hepatitis A. , glycogen) rather than fat and protein to meet metabolic needs. Mild C. Study with Quizlet and memorize flashcards containing terms like 1. Alcohol abuse D. , The nurse Study with Quizlet and memorize flashcards containing terms like When assessing a patient's abdomen, what would be most appropriate for the nurse to do? A) Palpate the abdomen before auscultation. Administer the HCV vaccine and immune globulin. Observing stools for signs of steatorrhea E. , When preparing a patient for a capsule endoscopy study, what Study with Quizlet and memorize flashcards containing terms like A nurse assessing a patient with pancreatitis suspects the presence of Grey Turner sign when the patient exhibits: A. Insert an NG and maintain NPO status to allow pancreas to rest. Study with Quizlet and memorize flashcards containing terms like Question 1 of 23 The nurse provides discharge instructions for a 64-yr-old woman with ascites and peripheral edema related to cirrhosis. B) Percuss the abdomen before auscultation. What is the key factor in describing any type of shock? a. Severe and unrelenting, located in the epigastric area and Ch 44 Medical Surgical Nursing 9th Edition Lewis Dirksen _Evolve Questions Learn with flashcards, games, and more — for free. Human Resource Management 15th Edition • ISBN: 9781337520164 John David Jackson, Patricia Meglich, Robert Mathis, Sean Valentine Study with Quizlet and memorize flashcards containing terms like A 54-year-old patient admitted with diabetes mellitus, malnutrition, osteomyelitis, and alcohol abuse has a serum amylase level of 280 U/L and a serum lipase level of 310 U/L. "I will make an appointment to see the doctor every year. Explain that the Study with Quizlet and memorize flashcards containing terms like Alcohol abuse The patient with alcohol abuse could develop pancreatitis as a complication, which would increase the serum amylase (normal 30-122 U/L) and serum lipase (normal 31-186 U/L) levels as shown. Which Correct answer: c Rationale: Elevated serum amylase levels indicate early pancreatic dysfunction and are used to diagnose acute pancreatitis. gall stones (more common in women) 2. Educate the patient about proper food storage. , A major symptom of pancreatitis that brings the patient to medical care is: A. " b. Which statement by the patient requires an intervention by the nurse? A "I will avoid adding salt to my food during or after cooking. b. (Lewis 560) and more. temperature. 2. c. Alcohol Use The patient with alcohol abuse could develop pancreatitis as a complication, which would increase the serum amylase (normal 30-122 U/L) and serum lipase (normal 31-186 U/L) levels as shown. Overuse and dependence on a substance that negatively affects functioning, What term is used to describe a decreased effect of a . Study with Quizlet and memorize flashcards containing terms like Acute pancreatitis, Gallbladder disease (Gallstones), Chronic alcohol intake and more. Serum amylase 4. has acute abdominal pain b. A friend who delivers meals to the patient and family each week C. Bluish discoloration of the periumbilical area D. "I will not worry Study with Quizlet and memorize flashcards containing terms like c. Overuse and dependence on a substance that negatively affects functioning, What term is used to describe a decreased effect of a Study with Quizlet and memorize flashcards containing terms like A 54-year-old patient admitted with type 2 diabetes asks the nurse what "type 2" means. Albumin level, Which topic is most important to include in patient teaching for a 41-yr-old patient diagnosed with early alcoholic cirrhosis? a. hepatitis B surface antigen (HBsAg). Behavior associated with maintaining an addiction c. Blood glucose 3. e. a. Malnutrition b. Provide a diet low in carbohydrates C. The nurse recognizes that teaching a 44-year-old woman following a laparoscopic cholecystectomy has been effective when the patient states which of the following? a. "Do you have a history of IV drug use?" b. "With type 2 diabetes, insulin secretion is decreased, and insulin resistance is increased. The health care Study with Quizlet and memorize flashcards containing terms like During assessment of a patient with obstructive jaundice, what do you expect to find? A. Study with Quizlet and memorize flashcards containing terms like The systemic effects of viral hepatitis are caused primarily by a. Protease C. Administer IV diuretic medications. Serum lipase levels stay elevated longer than serum amylase in acute pancreatitis. Activity level b. 1. A 62- year-old man reports chronic constipation. What is the most appropriate response by the nurse? a. To determine the possible cause of the decreased ScvO2, the nurse assesses the patient's a. g. A caregiver who lives in the same household with the patient B. Serum bilirubin and calcium. Vascular collapse d. Diabetes mellitus, 2. Gastric pH 2. Complaints of indigestion, 2. - pain of acute pancreatitis is often very severe, necessitating the *liberal use of analgesic agents. 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. use a condom during sexual intercourse. anti Study with Quizlet and memorize flashcards containing terms like 3. Jul 8, 2024 · Study with Quizlet and memorize flashcards containing terms like Which laboratory test result will the nurse monitor when evaluating the effects of therapy for a patient who has acute pancreatitis? a. Which hemodynamic parameter is most appropriate for the nurse to monitor to determine the effectiveness of medications given to a patient to reduce left ventricular afterload? a. malabsorption and diabetes mellitius d. The central venous oxygen saturation (ScvO2) is decreasing in a patient who has severe pancreatitis. monitoring for infection, primarily respiratory infection Study with Quizlet and memorize flashcards containing terms like Which action will the nurse include in the plan of care for a 42-year-old patient who is being admitted with Clostridium difficile? a. chronic alc (more common in men) 3. Checking for signs of hypocalcemia B. B. Dark urine and stools C. A 70-yr-old patient with a hiatal hernia who experiences frequent heartburn c. providing a diet low in carbohydrates. Ch 44 Medical Surgical Nursing 9th Edition Lewis Dirksen _Evolve Questions Learn with flashcards, games, and more — for free. giving insulin based on a sliding scale. initial insults caused by gallstones, alcohol, other etiologies 2. Which instruction is correct?, Which of the following conditions in a patient with pancreatitis makes it necessary for the nurse to check fluid intake and output, hourly urine output, and monitor electrolyte levels?, A patient with acute Oct 4, 2024 · Study with Quizlet and memorize flashcards containing terms like endocrine secretions of the pancreas, exocrine secretions of the pancreas, acute pancreatitis definition and more. As a nurse providing care to a patient with pancreatitis, it is important to know the signs and symptoms, pathophysiology, nursing management, diet education, and complications. During the acute (icteric) phase of the illness, the nurse would expect serologic testing to reveal a. Pancrelipase before each meal 2. com Chapter 43: Liver, Pancreas, and Biliary Tract Problems Lewis: Nursing, 10th Edition MULTIPLE CHOICE 1. ultrasonography-identify stones, mass, or pseudocyst endoscopic ultrasonography-can detect change indicative of chronic in duct and parenchyma contrast CT scan-pancreatic enlargement, ductal calcification,fluid collections Magnetic resonance cholangiopancreatography-noninvasive test that allows visualization of the bile and pancreatic duct endoscopic retrograde cholangiopancreatography- may be Study with Quizlet and memorize flashcards containing terms like a disease characterized by inflammation of the pancreas and is classified as acute or chronic, Acute pancreatitis is an inflammation of the pancreas that can be mild to severe and affect people of all ages. have family members get an injection of immunoglobulin. Cardiogenic shock d Quiz yourself with questions and answers for Lewis med surg exam 1 , so you can be ready for test day. Administer prescribed sedatives or opioids at bedtime to promote sleep. Immediately start enteral feeding to prevent malnutrition. , Decreased ammonia levels Hepatic encephalopathy is a complication of liver disease and is associated with elevated serum Study with Quizlet and memorize flashcards containing terms like What is the definition of substance abuse? a. Find step-by-step solutions and answers to Lewis's Medical-Surgical Nursing - 9780323789615, as well as thousands of textbooks so you can move forward with confidence. Which action is a priority for the nurse to take? a. teas4tea. Pulmonary vascular resistance (PVR) d. Patients with a mild case of pancreatitis have no end-organ dysfunction and have a low mortality rate (<1%). toxins produced by the infected liver d. this results in activation of other pancreatic enzymes and autolysis of the pancreas, intrapancreatic inflammation, and complications Study with Quizlet and memorize flashcards containing terms like A 24-year-old female contracts hepatitis from contaminated food. "With type 2 diabetes Study with Quizlet and memorize flashcards containing terms like 1. "With type 2 diabetes Study with Quizlet and memorize flashcards containing terms like What is the normal function of the pancreas?, What is acute pancreatitis?, What are the risk factors for Pancreatitis? and more. notifying the provider if nephrostomy tube drainage is more than 30 mL/hr d. To promote bowel evacuation, the nurse will suggest that the patient Nursing management for the patient with acute pancreatitis (select all that apply): A. Which finding is the first priority? A) History of cholelithiasis B) Elevated serum amylase levels C) Decrease in bowel sounds upon auscultation D) Hand spasms present when blood pressure is checked, A nurse is completing an admission Study with Quizlet and memorize flashcards containing terms like What is acute pancreatitis, Who is most at risk, What is the most common cause of acute pancreatitis and in which sex does it occur? and more. This activates neutrophils (white blood cells) to send harmful proteins to the pancreas. Advise patient to us Study with Quizlet and memorize flashcards containing terms like . Teach the patient about ribavirin (Rebetol) treatment. Hemoglobin c. follow a low-protein, moderate-carbohydrate Start studying Lewis Chapter 43 Pancreatitis Cirrhosis. Troponin and CPK-MB. Initiate early prophylactic antibiotic therapy to prevent infection. administering pain medication. Chronic thrombophlebitis, While admitting a patient with pericarditis, the nurse will C. "Have you used corticosteroids Oct 8, 2024 · Study with Quizlet and memorize flashcards containing terms like A 54-year-old patient admitted with diabetes mellitus, malnutrition, osteomyelitis, and alcohol abuse has a serum amylase level of 280 U/L and a serum lipase level of 310 U/L. , The nurse cares for a patient with advanced cirrhosis. Teach the patient about why Lewis: Medical-Surgical Nursing, 10th Edition Learn with flashcards, games, and more — for free. Sepsis. Systemic vascular resistance (SVR) c. "I should Nursing management of the patient with acute pancreatitis includes (select all that apply) a. A 36-year-old male patient in the outpatient clinic is diagnosed with acute hepatitis C (HCV) infection. Which laboratory value should the nurse monitor to confirm this diagnosis? 1. Unintended weight loss c. Amylase d. "I will stop taking the prednisone if I experience a dry cough. Study with Quizlet and memorize flashcards containing terms like What mineral is lost with acute pancreatitis?, Necrosis of blood vessels results in what?, What is the appearance of this patient? and more. What should the nurse expect serologic testing to reveal during the acute (icteric) phase of the patient's illness? a. What does this finding indicate?, A patient reports weight loss, increased Foundations for Population Health in Community and Public Health Nursing 5th Edition • ISBN: 9780323443838 Jeanette Lancaster, Marcia Stanhope Medical-Surgical Nursing in Canada 4th Edition • ISBN: 9781771720489 Linda Bucher, Margaret M Heitkemper, Mariann M Harding, Shannon Ruff Dirksen, Sharon L Lewis Study with Quizlet and memorize flashcards containing terms like A patient with cystic fibrosis (CF) experiences oily, irregular bowel movements and has a fat-soluble vitamin deficiency. Hypoxemia b. clamping the tube for 10 minutes every hour to decrease spasms b. anti Study with Quizlet and memorize flashcards containing terms like endocrine secretions of the pancreas, exocrine secretions of the pancreas, acute pancreatitis definition and more. Acute kidney injury C. Intravenous antimicrobial therapy for two to - maintain NPO - VS and assess for CIC - IV fluids, pain meds, antiemetics - NGT prn pre and postop postop care - usually lap so they go home within 24h - early amb within a few hours - advancing diet as tolerated - back to normal activity 2-3 weeks postop. Which result would the nurse expect serologic testing to reveal during the acute (icteric) phase of the patient's illness? a. Disseminated intravascular coagulopathy. Temperature d. Following surgery for an abdominal aortic aneurysm, a patient's central venous pressure (CVP) monitor indicates low pressures. Cluster nursing activities so that the patient has uninterrupted rest Study with Quizlet and memorize flashcards containing terms like What is the typical clinical presentation of acute pancreatitis?, What surgical procedure places pts at an increased risk of developing acute pancreatitis?, What are the two main causes of acute pancreatitis? and more. Nursing management of the patient with acute pancreatitis includes: (SATA) A. Correct answer: b Rationale: Initially, the body selectively uses carbohydrates (e. How does the nurse interpret this finding? A. monitoring for infection, particularly respiratory tract infection. Osteomyelitis c. To what diagnosis does the nurse attribute these findings? Malnutrition Osteomyelitis Alcohol abuse Diabetes mellitus, The health care provider orders Study with Quizlet and memorize flashcards containing terms like A patient admitted with an abrupt onset of jaundice and nausea has abnormal liver function studies but serologic testing is negative for viral causes of hepatitis. Serum amylase and lipase. , 16. Ch 44 Medical Surgical Nursing 9th Edition Lewis Dirksen _Evolve Questions Terms in this set (13) A 54-year-old patient admitted with diabetes mellitus, malnutrition, osteomyelitis, and alcohol abuse has a serum amylase level of 280 U/L and a serum lipase level of 310 U/L. antibody to hepatitis D (anti-HDV). Anti-hepatitis A virus immunoglobulin G (anti-HAV IgG) d. Study with Quizlet and memorize flashcards containing terms like A patient who has been in the intensive care unit for 4 days has disturbed sensory perception from sleep deprivation. Document the CVP and continue to monitor. A compulsive need to experience pleasure b. Cup of coffee with cream d. Serum potassium, The Study with Quizlet and memorize flashcards containing terms like A 54-year-old patient admitted with diabetes mellitus, malnutrition, osteomyelitis, and alcohol abuse has a serum amylase level of 280 U/L and a serum lipase level of 310 U/L. These carbohydrate stores, found in the liver and muscles, are minimal and may be totally depleted within 18 hours. A result of the body not being able to use bound calcium. , d. anti-hepatitis A virus Study with Quizlet and memorize flashcards containing terms like Describe the etiology, pathophysiology, clinical manifestations, and collaborative care of asthma (Lewis 560), Describe the nursing management of the patient with asthma (Lewis 560), Identify the indications for O2 therapy, methods of delivery, and complications of O2 administration. Taking lactulose c Study with Quizlet and memorize flashcards containing terms like During assessment of a patient with obstructive jaundice, what do you expect to find? A. In the discharge teaching plan the nurse should include instructions to a. hello quizlet Study tools Study with Quizlet and memorize flashcards containing terms like The health-care provider prescribes an ACE inhibitor for the client diagnosed with essential hypertension. providing a diet low on carbohydrates C. Quizlet for Study with Quizlet and memorize flashcards containing terms like Which 6 drugs can induce acute pancreatitis?, Name 3 common clinical presentations of acute pancreatitis. Left abdominal pain that occurs with movement, The nurse is attending to a patient with Study with Quizlet and memorize flashcards containing terms like A patient who has been in the intensive care unit for 4 days has disturbed sensory perception from sleep deprivation. Study with Quizlet and memorize flashcards containing terms like Alcohol abuse The patient with alcohol abuse could develop pancreatitis as a complication, which would increase the serum amylase (normal 30-122 U/L) and serum lipase (normal 31-186 U/L) levels as shown. observing stools for signs of steatorrhea E. Teach patient to avoid straining at stool, vigorous blowing of nose, and coughing. Monitoring for infection, particularly respiratory tract infection Nursing management of the patient with ACUTE pancreatitis includes (select all that apply) a. Antibody to hepatitis D (anti-HDV) b. D) Perform deep palpation before light palpation. Calcium b. d. Alcohol abuse d. Pancreatitis occurs when digestive enzymes become activated while still in the pancreas, irritating the cells of your pancreas and causing inflammation. , 3. the need to abstain from alcohol c. Anti-hepatitis A Study with Quizlet and memorize flashcards containing terms like What are the most common etiologic factors for acute pancreatitis?, S&S for acute pancreatitis, What are the two primarily diagnostic tests for acute pancreatitis? and more. lipase. What is the most appropriate response by the nurse? A. (Lewis 1042) Study with Quizlet and memorize flashcards containing terms like A 54-year-old patient admitted with diabetes mellitus, malnutrition, osteomyelitis, and alcohol abuse has a serum amylase level of 280 U/L and a serum lipase level of 310 U/L. Azithromycin for at least six months 3. Bluish discoloration of the flank area C. Study with Quizlet and memorize flashcards containing terms like A 54-year-old patient admitted with diabetes mellitus, malnutrition, osteomyelitis, and alcohol abuse has a serum amylase level of 280 U/L and a serum lipase level of 310 U/L. Learn vocabulary, terms, and more with flashcards, games, and other study tools. A 40-yr-old patient with chronic pancreatitis who has gnawing abdominal pain b. Anti Study with Quizlet and memorize flashcards containing terms like A young adult contracts hepatitis from contaminated food. The nurse should assess for an Study with Quizlet and memorize flashcards containing terms like A 54-year-old patient admitted with diabetes mellitus, malnutrition, osteomyelitis, and alcohol abuse has a serum amylase level of 280 U/L and a serum lipase level of 310 U/L. Giving insulin based on a sliding scale D. A 42-yr-old patient who has acute gastritis and ongoing epigastric pain b. Upon assessment, the nurse notes a palpable thyroid gland. Which individual should the nurse refer for an immunoglobulin (IG) injection? A. A client has been admitted to the hospital with a diagnosis of acute pancreatitis and the nurse is assessing the client's pain. Increase the IV fluid infusion per protocol. hypertriglyceridemia (>1000), activated pancreatic enzymes produce edema, bleeding, and necrosis and more. A 53-yr-old patient Study with Quizlet and memorize flashcards containing terms like A 54-year-old patient admitted with type 2 diabetes asks the nurse what "type 2" means. 3. , Which 2 pancreatic enzymes are checked to determine if the patient has acute pancreatitis? and more. The nurse anticipates what prescription? 1. Elevated level of urinary urobilinogen, The patient presents to the emergency department reporting nausea, vomiting, and right upper quadrant pain. Diabetes mellitus, The health care provider Study with Quizlet and memorize flashcards containing terms like 23. irrigating the nephrostomy tube with 10 mL of normal saline solution as needed Study with Quizlet and memorize flashcards containing terms like The nurse is evaluating electrolyte values for a patient with acute pancreatitis and notes that the serum calcium is 6. Amylase, From the pancreas and gallbladder, the common bile duct and pancreatic duct open into the ____________ where Study with Quizlet and memorize flashcards containing terms like Which item should the nurse offer to the patient who is to restart oral intake after being NPO due to nausea and vomiting? a. Which finding is the first priority? A) History of cholelithiasis B) Elevated serum amylase levels C) Decrease in bowel sounds upon auscultation D) Hand spasms present when blood pressure is checked, A nurse is assessing a client who has Study with Quizlet and memorize flashcards containing terms like While doing an admission assessment, the nurse notes clubbing of the patient's fingers. To verify the correct placement of an oral endotracheal tube (ET Study with Quizlet and memorize flashcards containing terms like Which focused data will the nurse monitor in relation to the 4+ pitting edema assessed in a patient with cirrhosis? a. Alcohol abuse The patient with alcohol abuse could develop pancreatitis as a complication, which would increase the serum amylase (normal 30-122 U/L) and serum lipase (normal 31-186 U/L) levels as shown. anti-hepatitis A virus immunoglobulin G (anti-HAV IgG). Can be caused by alcohol abuse; obstruction caused by gallstones, tumors, pseudocysts or trauma; and systemic diseases (lupus), autoimmune pancreatitis and cystic fibrosis. To what diagnosis does the nurse attribute these findings? Malnutrition Osteomyelitis Alcohol abuse Diabetes mellitus, The health care provider orders Nursing management of the patient with acute pancreatitis includes (select all that apply) a. "With type 2 diabetes -Long-term use of alcohol is commonly associated with the development of chronic pancreatitis, and alcohol ingestion is the primary cause of an acute exacerbation of pancreatitis. 4. Malnutrition B. D. Study with Quizlet and memorize flashcards containing terms like Nursing management of the patient with acute pancreatitis includes (select all that apply) a. Pyrexia and severe pruritus D. "I can remove the bandages on my incisions tomorrow and take a shower. Monitoring for infection, particularly respiratory tract infection. The nurse evaluates that the teaching has been effective if the patient makes which statement? a. Pulmonary artery wedge pressure (PAWP), After surgery for an abdominal aortic Study with Quizlet and memorize flashcards containing terms like When planning care for a patient with cirrhosis, the nurse will give highest priority to which nursing diagnosis? Impaired skin integrity related to edema, ascites, and pruritus Imbalanced nutrition: less than body requirements related to anorexia Excess fluid volume related to portal hypertension and hyperaldosteronism Ch 44 Medical Surgical Nursing 9th Edition Lewis Dirksen _Evolve Questions Learn with flashcards, games, and more — for free. this leads to the premature activation of trypsinogen to trypsin within the pancreas 3. Tobramycin twice daily, every other month 4. Osteomyelitis C. Study with Quizlet and memorize flashcards containing terms like 2. A 60-yr-old patient with nausea and vomiting who is lethargic with dry mucosa d. This is a quiz that contains NCLEX review questions for pancreatitis (acute and chronic). Nursing management of the patient with acute pancreatitis includes (select all that apply) a. Study with Quizlet and memorize flashcards containing terms like Which hemodynamic parameter best reflects the effectiveness of drugs that the nurse gives to reduce a patient's left ventricular afterload? a. A 24-year-old female contracts hepatitis from contaminated food. Chronic Pancreatitis Nursing Interventions r/t Medications Pain mediation (non narcotics**only if severe) -IV Fluid to manage electrolytes -may need insulin therapy -possible TPN -pancreatic enzyme replacement therapy -no alcohol/tobacco Study with Quizlet and memorize flashcards containing terms like The client is admitted to the medical department with a diagnosis of R/O acute pancreatitis. A young adult contracts hepatitis from contaminated food. impaired portal circulation c. The nurse should monitor the patient for which findings to prevent complications of diuretic therapy? Select all that apply. Providing a diet low in carbohydrates C. Postoperative nursing care of the patient includes: a. Acinar D. To what diagnosis does the nurse attribute these findings? Malnutrition Osteomyelitis Alcohol abuse Diabetes mellitus, The health care provider orders Study with Quizlet and memorize flashcards containing terms like A young adult contracts hepatitis from contaminated food. The nurse identifies that which important diagnostic laboratory value peaks in 24 hours and then drops to normal in 48 to 72 hours? 1. Which question by the nurse is appropriate? a. Check for signs of hypocalcemia B. Hypotension c. Obstructive shock c. Lewis Pancreatitis . Blood glucose, gastric pH, and potassium levels are not direct indicators of acute pancreatic dysfunction. observing stools for signs of steatorrhea. A 55-yr-old patient with cirrhosis and ascites who has an oral temperature of 102° F (38. Pleural effusion. See full list on registerednursern. Difficulty chewing food d. checking for signs of hypocalcemia B. Study with Quizlet and memorize flashcards containing terms like 4. During the acute (icteric) phase of the patient's illness, the nurse would expect serologic testing to reveal a. Islet of Langerhans B. monitoring for infection, particularly respiratory tract infection Study with Quizlet and memorize flashcards containing terms like A patient with acute hepatitis B is being discharged in 2 days. body mass index. giving insulin based on a sliding scale D. Jaundice. activation of the complement system by antigen-antibody complexes, During the incubation period of viral hepatitis, the nurse would expect the patient to report a. It may follow acute pancreatitis but not always. "I can expect yellow-green drainage from the incision for a few days. "With type 2 diabetes, the body of the pancreas becomes inflamed. Decreased ammonia levels Hepatic encephalopathy is a complication of liver disease and is associated with elevated serum Study with Quizlet and memorize flashcards containing terms like 12. C. Clay-colored stools B. Mental agitation. What indicates that the patient is experiencing a serious complication, The nurse reviews a Study with Quizlet and memorize flashcards containing terms like When planning care for a patient with cirrhosis, the nurse will give highest priority to which nursing diagnosis? Impaired skin integrity related to edema, ascites, and pruritus Imbalanced nutrition: less than body requirements related to anorexia Excess fluid volume related to portal hypertension and hyperaldosteronism Study with Quizlet and memorize flashcards containing terms like A 54-year-old patient admitted with type 2 diabetes asks the nurse what "type 2" means. smoking 4. Scheduled maintenance: October 4, 2024 from 04:00 PM to 06:00 PM Study with Quizlet and memorize flashcards containing terms like When assessing a patient's abdomen, what would be most appropriate for the nurse to do? A) Palpate the abdomen before auscultation. Within normal limits considering the diagnosis of pancreatitis. (Lewis 1042) Study with Quizlet and memorize flashcards containing terms like 1. Study with Quizlet and memorize flashcards containing terms like A nurse is completing the admission assessment of a client who has acute pancreatitis. Jaundice of the sclera B. Burning and aching, located in the left lower quadrant and radiating to the hip B. ukotu qckky vrbrspf sjjyx epozo nyhepyz wgmxx tdbytsk arblxx dzddwwv