Panceas

Question 1

Which of the following treatment options is best to utilize in the management of patients with acute pancreatitis?
A
ERCP with endoscopic pancreas sphincterotomy
B
Nastogastric suction to prevent gastric contents from entering the duodenum.
C
Pancreatic enzyme supplements administered with meals.
D
Pancreatic surgery to remove areas of the inflamed pancreas.

Answer 1

B

Nastogastric suction to prevent gastric contents from entering the duodenum.

Question 2

Which of the following will a patient with chronic pancreatitis be more likely to have compared to a patient with acute pancreatitis?
A
Adherence to a high carb, high protein, & low fat diet.
B
Experience acute abdominal pain.
C
Malabsorption and Diabetes mellitus
D
The need to abstain from from alcohol.

Answer 2

C

Malabsorption and Diabetes mellitus

Question 3

Which of the following characteristics are most commonly associated with cholelithiasis? Select all that apply. 
Multiple answers:
You can select more than one option
A
Age over 40
B
Family History of gallbladder disease
C
History of excessive alcohol use
D
Multiparous female
E
Obesity
F
Use of estrogen or oral contraceptives

Answer 3

A
Age over 40
B
Family History of gallbladder disease
D
Multiparous female
E
Obesity
F
Use of estrogen or oral contraceptives

Question 4

Which nursing care for a patient with acute cholecystitis will prevent further stimulation of the gallbladder?
A
Administration of anticholingeric medications
B
Administration of antiemetic medications
C
NPO with NG suction
D
Open cholecystecomy

Answer 4

C

NPO with NG suction

Question 5

During discharge instructions for a patient following a laparoscopic cholecystectomy, which of the following should the nurse include as part of patient teaching?
A
Expect some postoperative nausea and vomiting for a few days
B
Keep the incision site clean and dry for at least a week.
C
Report any bile-colored or purulent drainage from the incision site
D
Report the need to take pain medication for shoulder pain.

Answer 5

C

Report any bile-colored or purulent drainage from the incision site