A nurse is caring for a client whose assessment and diagnostic testing are suggestive of acute pancreatitis. When the nurse is performing the health interview, what assessment question(s) addresses likely etiologic factors? Select all that apply.
How many alcoholic drinks do you typically consume in a week?"
"Have you ever been tested for diabetes?"
"Have you ever been diagnosed with gallstones?"
"Would you say that you eat a particularly high-fat diet?"
"Does anyone in your family have cystic fibrosis?"
Correct Answer : A,C,E
A. Excessive alcohol use is one of the leading causes of acute pancreatitis. Asking about alcohol intake helps identify this key risk factor.
B. Diabetes is more commonly a complication of chronic pancreatitis rather than a cause of acute pancreatitis.
C. Gallstones can block the pancreatic duct and are a major cause of acute pancreatitis.
D. While a high-fat diet may contribute to gallstone formation over time, it is not a direct cause of acute pancreatitis.
E. Cystic fibrosis can affect the pancreas and is a known hereditary risk factor, especially in younger patients, for pancreatitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Brudzinski's sign indicates meningeal irritation, not related to hypocalcemia.
B. Kernig's sign also indicates meningeal irritation.
C. Babinski's sign assesses neurological function but is unrelated to calcium levels.
D. Chvostek's sign is a facial muscle spasm triggered by tapping the facial nerve, a classic sign of hypocalcemia, which can occur after thyroidectomy due to inadvertent removal or damage to the parathyroid glands.
Correct Answer is A
Explanation
A. Carrying a fast-acting sugar source (like glucose tablets or juice) is crucial for prompt treatment of hypoglycemia, especially during activities like sports or hiking where symptoms can arise quickly.
B. Exercising before eating can increase the risk of hypoglycemia and is not recommended without proper planning.
C. Eating every 8 hours may not be frequent enough to prevent low blood sugar, particularly with insulin use or increased activity.
D. Blood sugar should be checked much more frequently than every 24 hours, especially during active days, to ensure proper management and safety.
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