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 D
Explanation
A. Calcium levels are often decreased in acute pancreatitis due to fat necrosis and calcium binding within the inflamed pancreas.
B. RBC count is not typically elevated in pancreatitis and is not a key diagnostic indicator.
C. Magnesium may be normal or decreased, but it is not a hallmark finding in pancreatitis.
D. Amylase is a digestive enzyme produced by the pancreas, and its levels rise significantly during acute pancreatitis, making it a primary diagnostic marker.
Correct Answer is C
Explanation
A. Hyponatremia is not directly related to parathyroid function and is more commonly associated with conditions like SIADH.
B. Hypophosphatemia may be seen in refeeding syndrome or other metabolic disturbances, but not as a primary indicator of parathyroid injury.
C. Hypocalcemia is the hallmark laboratory finding following accidental removal or injury to the parathyroid glands during thyroidectomy, as parathyroid hormone (PTH) regulates calcium levels.
D. Hypokalemia is related to potassium imbalance and is not specific to parathyroid or calcium regulation.
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