Nini
Cholecystitis may present with which clinical findings? Select all that apply.
Elevated serum amylase
Right upper quadrant pain
Nausea
Cullen sign
Grey-Turner sign
Right upper quadrant pain
Nausea
A nurse notes elevated serum amylase on serum blood laboratory results. Which organ is likely damaged?
Gallbladder
Stomach
Pancreas
Appendix
Pancreas
A clinician is worried about renal failure in a patient with acute pancreatitis. What should be addressed to prevent this development?
Correct fluid imbalance to maintain renal perfusion.
Perform surgical reduction of pancreas size.
Provide diuretics.
Begin hemodialysis.
Correct fluid imbalance to maintain renal perfusion.
Which of the following patients will a nurse suspect to be most at risk for gallstone formation?
A child under the age of 5 years
Overweight female, age 48
Female age 25
Elderly male, age 70
Overweight female, age 48
A patient has been diagnosed with pancreatic cancer. The family has been doing some research on the disease. Which of the following is an idea expressed by the family that the clinician should correct?
The exact cause of pancreatic cancer is unknown.
There may be no significant signs or symptoms early in pancreatic cancer.
The survival rate of pancreatic cancer is very high.
Pancreatic cancer is often a silent disease.
The survival rate of pancreatic cancer is very high.
Upon being discharged, a patient with chronic pancreatitis is reviewing the dietary recommendations. Which of the following indicates that further instruction is needed?
“The best option is to eat one large meal per day, with smaller snacks when I am hungry.”
“I should refrain from caffeine.”
“A meal of a cheeseburger and fries is not my best option.”
“I should choose easily digestible foods and eat frequent meals.”
“The best option is to eat one large meal per day, with smaller snacks when I am hungry.”
Pancreatic cancer may be diagnosed late in the disease course because of a lack of early signs and symptoms. The nurse is researching cancer markers that can be monitored for pancreatic cancer. Which of the following should he considered?
Alpha-fetoprotein (AFP)
Cancer antigen (CA)-125
Carcinoembryonic antigen (CEA)
Prostate-specific antigen (PSA)
Carcinoembryonic antigen (CEA)
A patient is suffering from cholecystitis. Which of the following food choices by the patient may the nurse need to discuss further given his condition?
Dessert of pie and ice cream
A nursing educator is helping a nursing student to recognize the signs and symptoms of cholelithiasis in a patient. Which of the following should the student nurse be aware of?
Projectile vomitting
Severe ab pain b/w meals
Burning sensation in sternal area
RUQ pain that radiates to the shoulder
RUQ pain that radiates to the shoulder
A patient feels that she is having gallstone problems. What symptoms may the patient be experiencing? Select all that apply.
Nausea and vomiting
Shoulder pain
Right upper quadrant pain
A nurse sees ursodiol on a patient’s chart. What is the most likely reason?
Dissolve gallstones
An abdominal x-ray reveals pathological signs of chronic pancreatitis. What is seen on the x-ray?
pancreatic calcification
A clinician is admitting a patient with suspected acute pancreatitis. Which signs and symptoms would support this suspicion? Select all that apply.
Severe ab pain radiating to the back
Cullens sign
Diminished bowel sounds
A patient presents to the emergency department reporting right upper quadrant pain radiating to the shoulder. The clinician wants to assess for Murphy’s sign. What should the patient be directed to do?
Lie supine and and take a deep inspiration
A patient with acute pancreatitis has developed bruising around the flank area. What is the correct interpretation by the nurse?
Pt is displaying Grey Turner’s sign