pancreatitis practice - deck_18465825.csv Flashcards
What is pancreatitis?
A) Inflammation of the pancreas due to spillage of pancreatic enzymes, leading to autodigestion
B) Infection of the pancreas
C) Acute liver failure
D) Obstruction of the bile duct
A) Inflammation of the pancreas due to spillage of pancreatic enzymes, leading to autodigestion
Which of the following are common symptoms of pancreatitis?
A) LUQ/midepigastric pain radiating to the back
B) Nausea and vomiting
C) High fever
D) Decreased/absent bowel sounds
E) Jaundice
A, B, D, E) LUQ/midepigastric pain radiating to the back, Nausea and vomiting, Decreased/absent bowel sounds, Jaundice
A patient presents with bruising around the umbilicus and on the flanks. What do these findings suggest?
A) Grey Turner’s sign and Cullen’s sign
B) Infection
C) Gallstones
D) Hepatitis
A) Grey Turner’s sign and Cullen’s sign
Which of the following are signs of hypocalcemia?
A) Chvostek’s sign
B) Trousseau’s sign
C) Muscle spasms
D) Seizures
E) Tachycardia
A, B, C, D) Chvostek’s sign, Trousseau’s sign, Muscle spasms, Seizures
Which electrolyte imbalance is common in pancreatitis?
A) Hyperkalemia
B) Hypercalcemia
C) Hypocalcemia
D) Hyponatremia
C) Hypocalcemia
What are common risk factors for pancreatitis?
A) High-fat diet
B) Excessive alcohol intake
C) Gallstones
D) Hypertension
A, B, C) High-fat diet, Excessive alcohol intake, Gallstones
Which of the following actions should be taken if a patient with pancreatitis begins vomiting?
A) Start tube feeding
B) Monitor blood glucose
C) Discontinue tube feeding
D) Start IV fluids
C) Discontinue tube feeding
Which type of feeding tube is preferred for pancreatitis?
A) NG tube
B) NJ tube
C) G tube
D) PEG tube
B) NJ tube
What is the initial dietary recommendation for pancreatitis?
A) High-fat meals
B) Clear liquids
C) NPO status
D) Full liquid diet
C) NPO status
When resuming oral intake in a patient with pancreatitis, what dietary changes should be made?
A) Large meals
B) Low-fat meals
C) High-protein meals
D) Frequent, small meals
B, D) Low-fat meals, Frequent, small meals
What are key nursing interventions for pancreatitis?
A) Monitor for infection
B) Assess fluid/electrolyte balance
C) Administer pain relief
D) Encourage smoking cessation
E) Avoid alcohol use
F) Monitor for respiratory failure
A, B, C, D, E, F) Monitor for infection, Assess fluid/electrolyte balance, Administer pain relief, Encourage smoking cessation, Avoid alcohol use, Monitor for respiratory failure
Which diagnostic tests are key for pancreatitis?
A) Serum amylase and lipase
B) Serum potassium
C) Serum calcium
D) Serum glucose
E) CBC
F) Serum bilirubin
A, C, D, E) Serum amylase and lipase, Serum calcium, Serum glucose, CBC
Why is hypocalcemia seen in pancreatitis?
A) Calcium is bound to pancreatic enzymes
B) There is an increased demand for calcium in the pancreas
C) There is a decrease in calcium absorption from the intestines
D) The liver decreases calcium production
A) Calcium is bound to pancreatic enzymes
A 55-year-old patient with a history of alcohol abuse presents with severe epigastric pain, nausea, and vomiting. Laboratory results show elevated amylase and lipase levels. What is the most likely diagnosis?
A) Cholecystitis
B) Pancreatitis
C) Hepatitis
D) Peptic ulcer disease
B) Pancreatitis
Which of the following medications are commonly prescribed for chronic pancreatitis?
A) Pancreatic enzymes
B) Insulin
C) Antibiotics
D) Antihypertensives
A, B) Pancreatic enzymes, Insulin
Which is the best course of action for a patient with acute pancreatitis?
A) Begin tube feeding immediately
B) Start parenteral nutrition
C) Keep the patient NPO
D) Initiate a high-protein diet
C) Keep the patient NPO
A 40-year-old patient with pancreatitis begins to show signs of confusion and lethargy. What should the nurse assess for first?
A) Pain level
B) Electrolyte imbalance
C) Blood glucose level
D) Oxygen saturation
B) Electrolyte imbalance
Which of the following are included in nursing care for a patient with pancreatitis?
A) Monitor vital signs and oxygen saturation
B) Restrict oral intake until symptoms subside
C) Administer narcotics regularly for pain relief
D) Encourage high-protein, low-fat meals once tolerated
A, B, D) Monitor vital signs and oxygen saturation, Restrict oral intake until symptoms subside, Encourage high-protein, low-fat meals once tolerated
A patient with pancreatitis reports nausea and pain radiating to the back. The nurse assesses for signs of hypocalcemia. Which of the following would the nurse expect to find?
A) Muscle spasms
B) Positive Chvostek’s sign
C) Positive Trousseau’s sign
D) Tremors
A, B, C) Muscle spasms, Positive Chvostek’s sign, Positive Trousseau’s sign
Which of the following interventions are appropriate for a patient with severe pancreatitis? (Select all that apply.)
A) Administer pain relief
B) Administer fluids and electrolytes
C) Encourage fatty food intake
D) Monitor blood glucose levels
E) Start tube feeding immediately
A, B, D) Administer pain relief, Administer fluids and electrolytes, Monitor blood glucose levels
A patient with pancreatitis is being transitioned from NPO to oral intake. What is the appropriate first food choice for the patient?
A) Large portions of fatty food
B) Clear liquids
C) Solid food high in protein
D) Small, low-fat meals
B) Clear liquids
What is the main reason for using an NJ tube in pancreatitis?
A) To feed the patient immediately after NPO status
B) To bypass the pancreas and reduce irritation
C) To drain excess pancreatic enzymes
D) To monitor for bleeding
B) To bypass the pancreas and reduce irritation
In which scenario should tube feeding NOT be started in a patient with pancreatitis?
A) When vomiting occurs
B) When the patient is NPO
C) When pain is controlled
D) When the patient is stable
A) When vomiting occurs
A patient with chronic pancreatitis is prescribed pancreatic enzymes. When should these be taken?
A) 30 minutes before meals
B) During meals
C) After meals
D) At bedtime
B) During meals
