A home health nurse is caring for a client discharged home after pancreatic surgery. The nurse documents the nursing diagnosis Risk for Imbalanced Nutrition: Less than Body Requirements on the care plan based on the potential complications that may occur after surgery. What are the most likely complications for the client who has had pancreatic surgery?
Proteinuria and hyperkalemia
Hemorrhage and hypercalcemia
Weight loss and hypoglycemia
Malabsorption and hyperglycemia
The Correct Answer is D
A. Proteinuria and hyperkalemia are not commonly associated with pancreatic surgery.
B. Hemorrhage may be an acute post-op complication, but hypercalcemia is not typically related to pancreatic surgery.
C. Weight loss and hypoglycemia may occur, but they are often secondary to broader problems such as malabsorption or endocrine dysfunction.
D. Malabsorption can occur due to reduced pancreatic enzyme production after surgery, leading to nutrient deficiencies. Hyperglycemia is also common, as insulin production may be impaired if pancreatic tissue is removed, increasing the risk for diabetes mellitus.
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Related Questions
Correct Answer is B
Explanation
A. Hospital readmission is premature at this stage and may not be necessary if the issue can be addressed with education and support.
B. This response addresses the root problem — inadequate fluid intake — and offers a practical solution that promotes hydration while respecting the client’s concern about nocturia. Dehydration can lead to electrolyte imbalances and confusion, especially in older adults.
C. Confusion is not a normal post-op state and should never be dismissed. Urination at night is common but should not come at the expense of hydration.
D. While aging can bring some changes, confusion and dehydration should never be considered normal or acceptable and require assessment and intervention.
Correct Answer is D
Explanation
A. Red blood cell count can indicate oxygen-carrying capacity over time but does not directly assess current oxygenation status.
B. Sputum culture identifies pathogens in respiratory infections but does not evaluate oxygen levels.
C. Total hemoglobin reflects oxygen-carrying capacity but does not show whether the blood is actually oxygenated.
D. Arterial blood gas (ABG) analysis directly measures oxygen (PaO₂), carbon dioxide (PaCO₂), and pH levels in arterial blood, making it the most accurate and immediate test for evaluating hypoxia.
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