Title KEY - R12 NP3.docx ✅

66. Nurse Neil knew that the initial diagnosis of pancreatitis is confirmed if the client's blood shows a significant in elevation which of the following serum values? A. Amylase B. Calcium C. Potassium D. Trypsin Answer: A Ratio: Pancreatitis is inflammation of the pancreas. Elevated presence of digestive enzymes (serum amylase, serum lipase) in the blood indicates inflammation of the pancreatic tissue causing its leakage. 67. In a client with acute pancreatitis, Nurse Neil should anticipate observing the following signs and symptoms: A. Diarrhea B. Jaundice C. Hypertension D. Ascites Answer: D 68. Nurse Neil reviews the client's latest laboratory results. What findings would indicate a diagnosis of acute pancreatitis? A. Hyperglycemia B. Leukopenia C. Thrombocytopenia D. Hyperkalemia Answer: A Ratio: Serum glucose is increased because of impaired excretion of insulin d/t pancreatic injury 69. Nurse Neil reviews initial plan for a client with pancreatitis would most likely focus on which of the following as a priority? A. Resting the gastrointestinal tract B. Ensuring adequate nutrition C. Maintaining fluid and electrolyte balance D. Preventing the development of an infection Answer: A Ratio: Question is asking about the initial plan. Initial plan is to put the patient in NPO to rest the GIT, prevent stimulation of pancreas and prevent further painful distention in the patient. 70. Nurse Neil knows that if a client is diagnosed with acute pancreatitis, he should carefully monitor the client for which of the following complications? A. Congestive heart failure B. Duodenal Ulcer C. Cirrhosis D. Pneumonia Answer: D Ratio: The patient with acute pancreatitis is prone to complications associated with the respiratory system. Pneumonia, atelectasis, and pleural effusion are examples of respiratory complications that can develop as a result of pancreatic enzyme exudate. Pancreatitis does not cause heart failure, ulcer formation, or cirrhosis. Situation: Nurse Anne, an infectious control nurse, is caring for a client with Pulmonary Tuberculosis. 71. Which client has special risk factors that warrant testing for tuberculosis? A. 45-year-old Caucasian man who has been homeless for 2 years B. 15-year-old Caucasian woman with asthma C. 72-year-old woman who is a recent immigrant from Russia D. 50-year-old Iowa farmer Answer: A Ratio: One of the risk factors for TB is any person without adequate health care (the homeless, impoverished; minorities, particularly children under age 15 and young adults between ages 15 and 44) Source: Brunner & Suddarth’s Textbook of Medical-Surgical Nursing, Twelfth Ed., pg.567