CASE STUDY – HESI – Chronic Pancreatitis – Flashcards
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To support the admitting diagnosis of acute pancreatitis, which question should the nurse ask Jared?
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How often do you drink alcohol, and when was your last drink?
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Which laboratory data indicated that Jared is experiencing acute pancreatitis?
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Amylase of 982 U/L and lipase of 400 U/L
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Which medication should the nurse expect to administer to relieve Jared's pain?
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Morphine 5 mg IV push administered diluted over 5 minutes.
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Which diet should the nurse expect the HCP to prescribe for Jared?
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Nothing by mouth.
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Which intervention should the nurse implement prior to transferring Jared to the floor?
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Insert a nasogastric tube and connect to low, intermittent suction.
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Which intervention regarding positioning should the nurse implement to help alleviate Jared's pain?
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Encourage side lying with legs drawn to chest.
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Which intervention should the nurse include in the plan of care?
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Administer oxygen via nasal cannula.
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Which intervention should the nurse implement prior to administering TPN?
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Assist the HCP with a subclavian line insertion.
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The nurse should anticipate that the TPN bag will be empty in how many hours?
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13
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Which independent nursing action regarding the client's nutritional status should the nurse include when caring for Jared?
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Obtain and record a daily weight.
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Which task can the nurse delegate to the UAP when caring for Jared?
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Obtain a blood glucose reading.
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What action should the nurse take?
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Administer D10W via the infusion pump at 75 mL/hr
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Which nursing intervention has the highest priority when preparing Jared for discharge?
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Explain the importance of alcohol abstinence.
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Which action should the nurse include when providing discharge teaching?
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Discuss ways to deal with stressful situations and avoid stress if possible.
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Which statement by the nurse provides the best response to Jared's comment?
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I will contact your HCP to discuss this with you.
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Which question should the nurse ask Jared prior to the ERCP?
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When was the last time you had anything to eat or drink?
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What intervention has the highest priority when caring for Jared after the procedure?
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Assess the client's pulse and blood pressure.
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How should the nurse respond?
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This is common in persons with chronic pancreatitis.
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Which statement accurately explains the scientific rationale for the use of omeprazole (Prilosec)?
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Omeprazole (Prilosec) decreases gastric secretions.
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How should the nurse proceed when teaching Jared about this mediation?
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Determine if Jared is allergic to any type of pork.
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Which additional instruction regarding the use of pancrelipase (Cotazym) is important for the nurse to include?
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Take the medication with meals or snacks.
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When the nurse is discussing the complications of chronic pancreatitis with Jared and his wife, which information should be included in the teaching? (Select all that apply.)
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-The need to monitor blood glucose levels. -That recurring attacks tend to become more severe in nature.
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Which action should the nurse encourage Jared to take?
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Weigh weekly and report any significant weight loss.
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How should the nurse respond?
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It is a support group that uses a 12-step recovery program to quit drinking.
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How should the nurse respond?
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There are no dues or fees to attend the meetings.
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How should the nurse respond to Jared's question?
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Jared, if you don't stop drinking, this disease may kill you.
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Which nursing intervention will be most beneficial in helping Jared and his wife plan for the future if he is unable to modify his lifestyle?
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Discuss the need to complete an Advance Directive.
