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. Monitoring for dysrhythmias is important, especially due to potential electrolyte shifts, but it is secondary to stabilizing perfusion and hydration.
B. Maintaining and monitoring fluid balance is the top priority in the initial management of diabetic ketoacidosis (DKA) because clients are severely dehydrated due to osmotic diuresis. Prompt fluid resuscitation is essential to restore perfusion and support metabolic correction.
C. Assessing level of consciousness is necessary, especially if cerebral edema is a concern, but it follows after fluid and metabolic stabilization.
D. Venous thromboembolism is a risk in critically ill patients, but it is not an immediate priority in the acute phase of DKA treatment.
Correct Answer is C
Explanation
A. Cryosurgery is used for tumors in patients who are not surgical candidates but is not the primary treatment for resectable, localized liver cancer.
B. Liver transplantation is considered when cancer involves both lobes or in the presence of underlying liver disease (e.g., cirrhosis), not when the tumor is confined to one lobe.
C. Lobectomy (surgical resection of the affected lobe) is the preferred treatment when hepatocellular carcinoma is localized to one lobe and the remaining liver tissue is healthy.
D. Laser hyperthermia is an investigational or palliative technique and is not considered first-line treatment for localized HCC.
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