The Pancreas
In older adults, a decreased rate of amylase and lipase secretion occurs. True or false?
True
Definition of acute pancreatitis.
Auto-digestion of the gland
True or False: Treatment options for both acute and chronic pancreatitis have overlap in many respects
True
Results of an ERCP reveal that a client's acute pancreatitis is being caused by pancreatic duct obstruction. The nurse teaches the client that the most common cause of this obstruction is which occurrence?
A gallstone
The client is being admitted to the outpatient department prior to an endoscopic retrograde cholangiopancreatogram (ERCP) to rule out cancer of the pancreas. Which pre-procedure instruction should the nurse teach?
1. Prepare to be admitted to the hospital after the procedure for observation.
2. If something happens during the procedure, then emergency surgery will be done.
3. Do not eat or drink anything after midnight the night before the test.
4. If done correctly, this procedure will correct the blockage of the stomach.
3. Do not eat or drink anything after midnight the night before the test.
Name the three anatomical parts of the Pancreas.
Head, body, tail
What is the number one symptom that client's present with for pancreatitis?
Abdominal pain
Define steatorrhea.
Fatty stool, with an oily appearance and floats in water.
A client's admitting diagnosis is possible pancreatitis. Which nutrition order would the nurse anticipate for this client?
NPO status
The client is diagnosed with cancer of the head of the pancreas. When assessing the patient, which signs and symptoms would the nurse expect to find?
The client will have jaundice, clay-colored stools, and tea-colored urine resulting from blockage of the bile drainage.
Empties through the small intestine.
Exocrine function.
Name 2 possible causes of Acute Pancreatitis
2 of the following: Alcohol induced, procedure-induced, medication induced, or trauma
What are two recommended treatment regimen for a patient diagnosed with Chronic Pancreatitis?
prevention of attacks, pain relief, low-fat, high-carb, high-protein diet, control of diabetes
When teaching a client about pancreatic function, the nurse understands that pancreatic lipase performs which function?
A. Transports fatty acids into the brush border
B. Breaks down fat into fatty acids and glycerol
C. Triggers cholecystokinin to contract the gallbladder
D. Breaks down protein into dipeptides and amino acids
B. Breaks down fat into fatty acids and glycerol
The nurse caring for a client diagnosed with cancer of the pancreas writes the collaborative problem of "altered nutrition." Which intervention should the nurse include in the plan of care?
1. Continuous feedings via PEG tube.
2. Have the family bring in foods from home.
3. Assess for food preferences.
4. Refer to the dietitian.
4. A collaborative intervention would be to refer to the nutrition expert, the dietitian.
Beta cells secrete insulin.
Endocrine function
What is the best initial serum test to diagnose Acute pancreatitis?
Lipase (and Amylase)
Narcotic addiction is not a concern for clients with chronic pancreatitis. True or false?
False.
What is the priority nursing diagnosis for acute pancreatitis?
Acute pain
The nurse is planning a program for clients at a health fair regarding the prevention and early detection of cancer of the pancreas. Which self-care activity should the nurse teach that is an example of primary nursing care?
3. Limit meat in the diet and eat a diet that is low in fats.
What are the two functions of the pancreas?
Exocrine and endocrine
In assessment, what is the sign that indicates low calcium?
Chvostek's sign
The nurse is discussing complications of chronic pancreatitis with a client diagnosed with the disease. Which complication should the nurse discuss with the client?
1. Diabetes insipidus.
2. Crohn's disease.
3. Narcotic addiction.
4. Peritonitis.
3. Narcotic addiction is related to the frequent, severe pain episodes that often occur with chronic pancreatitis and its complications and that require narcotics for relief.
What is a nursing diagnosis that can
What manifestations are evident with pancreatic cancer involving the head of the pancreas?
Jaundice, clay-colored stools, and dark urine