Mystery
(Fill in the blank)
____ is the 5th leading cause of death for females in the United States.
Pancreatic Cancer (Hinkle, Cheever, Kerry, 2018, p. 1450)
What is the term for inflammation of the gallbladder?
Cholecystitis (Hinkle, Cheever, Kerry, 2018, p. 1430)
This form of pancreatitis is accompanied by acute episodes, weight loss, and severe pain that isn't alleviated.
Chronic Pancreatitis (Hinkle, Cheever, Kerry, 2018, p. 1445)
What is the most likely area on the pancreas for a tumor to be found?
Head of the pancreas (Hinkle, Cheever, Kerry, 2018, p. 1450)
What is the primary objective in the immediate postoperative period?
Maintain ventilation/airway/respiratory (Hinkle, Cheever, Kerry, 2018, p. 457)
(Fill in the blank)
Most of the 15 million Americans who have _____ are not aware because of the absence of pain?
Gallstones (Hinkle, Cheever, Kerry, 2018, p. 1430)
Gangrene that can occur in Cholecystitis is caused by what?
Gut bacteria/flora (Hinkle, Cheever, Kerry, 2018, p. 1430)
In acute pancreatitis, what two hormone levels would you expect to be elevated?
Amylase and Lipase (Hinkle, Cheever, Kerry, 2018, p. 1442)
In relation to pancreatic tumors on the head (of the pancreas), which of these signs/symptoms doesn’t belong?
Clay-colored stools, pruritus, weight gain, anorexia, malaise.
Weight gain (Hinkle, Cheever, Kerry, 2018, p. 1451)
Why is aspirin not given after surgery?
Increased bleeding risk (Hinkle, Cheever, Kerry, 2018, p. 471)
For a patient with gallstones that are symptomatic, what is the standard therapy?
Laparoscopic Cholecystectomy (Hinkle, Cheever, Kerry, 2018, p. 1434)
What is the name of one of the medications used to dissolve small gallstones made of cholesterol?
Ursodeoxycholic acid (UDCA [Urso, Actigall]), and Chenodeoxycholic acid (chenodiol or CDCA [Chenix])
(Hinkle, Cheever, Kerry, 2018, p. 1434)
Name three diet or substance recommendations the nurse might make during patient education for a patient with pancreatitis?
Low fat, low protein, small meals, avoid tobacco, avoid alcohol, avoid caffeine (Hinkle, Cheever, Kerry, 2018, p. 1443)
List three non modifiable risk factors for Pancreatic cancer.
African heritage, Increased age, Hereditary Pancreatitis, Type 1 diabetes (Hinkle, Cheever, Kerry, 2018, p. 1450)
Name 3 interventions that can prevent postoperative respiratory complications.
Deep-breathing exercises, incentive spirometry, frequent turning, and early ambulation (Hinkle, Cheever, Kerry, 2018, p. 465)
Why does sitting up or leaning forward reduce pain in a patient with Acute Pancreatitis?
Any enlargement of the pancreas causes the peritoneum to stretch tightly. (Hinkle, Cheever, Kerry, 2018, p. 1443)
What is the assessment of choice for gallbladder disorders due to it being rapid and accurate?
Ultrasonography (Hinkle, Cheever, Kerry, 2018, p. 1432)
In chronic pancreatitis, what replaces the damaged/dead cells?
Fibrous tissue (Hinkle, Cheever, Kerry, 2018, p. 1445)
A whipple procedure includes what?
Pancreaticoduodenectomy with removal of the distal third of the stomach, pancreaticojejunostomy, gastrojejunostomy, and choledochojejunostomy (Hinkle, Cheever, Kerry, 2018, p. 1452)
In the postoperative period, what member of the healthcare team is the first to change any dressings?
Surgeon/Member of the surgical team (Hinkle, Cheever, Kerry, 2018, p. 469)
What are the four non-surgical methods for removing gallstones?
Dissolving, Instrumentation, Intracorporeal lithotripsy, Extracorporeal lithotripsy. (Hinkle, Cheever, Kerry, 2018, p. 1434, 1435)
Which of the following drugs would be considered a risk factor for gallstones?
Propranolol, Estrostep, Amoxapine, Potassium Chloride
Estrostep (oral contraceptive)
(Hinkle, Cheever, Kerry, 2018, p. 1431)
In a patient with pancreatitis, elevation of the diaphragm can be part of what complication?
Pulmonary insufficiency (Hinkle, Cheever, Kerry, 2018, p. 1441, 1442)
What effect do insulinomas have on insulin levels? And what effect does this have on glucose?
1. Increased insulin/hypersecretion
and
2. Increased metabolism of glucose/decreased glucose levels
(Hinkle, Cheever, Kerry, 2018, p. 1453)
Following major surgeries, what is the name of an acute gallbladder inflammation that may occur?
Acalculous cholecystitis (Hinkle, Cheever, Kerry, 2018, p. 1430)