A client is being cared for in the emergency department with acute abdominal pain and a provisional diagnosis of pancreatitis. The nurse assesses the client and obtains the results from laboratory studies. Which information is most valuable in reporting the client's status to the healthcare provider?
Presence of bowel sounds and degree of abdominal pain.
Severity of nausea and vomiting and serum amylase results.
Reports of chronic constipation and serum gastrin levels.
Serum Helicobacter pylori (H. pylori) antibody results and urine output amounts.
The Correct Answer is B
B. Pancreatitis is often associated with elevated serum amylase levels due to pancreatic inflammation. Therefore, this combination of clinical symptoms and laboratory findings is valuable in assessing the severity and confirming the diagnosis of pancreatitis.
A. While these are important clinical findings, they are not specific to pancreatitis and may not provide definitive information about the severity or cause of the condition.
C. Chronic constipation and serum gastrin levels are not typically associated with pancreatitis.
D. Serum Helicobacter pylori (H. pylori) antibody results and urine output amounts are not directly related to pancreatitis. H. pylori infection is associated with peptic ulcers and gastritis but not typically with pancreatitis.
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Related Questions
Correct Answer is D
Explanation
D. Vancomycin is primarily excreted by the kidneys, and monitoring serum creatinine levels helps assess renal function. Impaired renal function can affect vancomycin clearance and increase the risk of toxicity.
A. Measuring oxygen saturation is not directly related to the administration of vancomycin for Clostridium difficile infection.
B. Assessing body temperature may not be the most pertinent action before administering vancomycin for Clostridium difficile infection.
C. Auscultating bowel sounds is also not directly related to the administration of vancomycin for Clostridium difficile infection.
Correct Answer is B
Explanation
B. Aspiration can lead to serious respiratory complications such as pneumonia. Since the client reports difficulty swallowing (dysphagia) and has a high pain level, addressing the risk for aspiration is crucial to prevent further complications.
A. While nutrition is essential for overall health, it may not be the priority in this case given the severity of other symptoms such as pain, dysphagia, and anxiety.
C. Esophageal cancer can cause significant pain due to tissue destruction by the tumor, which can affect the client's quality of life and ability to function. This however, should be addressed after immediate concerns in the ABCs.
D. While addressing the client's emotional needs is important for holistic care, it may not be the immediate priority compared to managing symptoms such as pain and dysphagia,
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