A nurse is caring for a client with pancreatic cancer who has been scheduled for a pancreaticoduodenectomy (Whipple procedure). During health education, the client should be informed that this procedure will involve the removal of which of the following? Select all that apply.
Gallbladder
Part of the stomach
Duodenum
Part of the common bile duct
Part of the rectum
Correct Answer : A,B,C,D
A. The gallbladder is often removed during the Whipple procedure to allow reconstruction of the bile drainage system.
B. A portion of the stomach (usually the distal part) may be removed as part of the surgery.
C. The duodenum (first part of the small intestine) is removed because it is closely connected to the pancreas and bile duct.
D. Part of the common bile duct is removed to clear the area around the pancreas and bile drainage pathways.
E. The rectum is not involved or removed in the Whipple procedure; it is unrelated anatomically.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Hepatitis E virus is transmitted primarily through the fecal-oral route, so following proper hand-washing techniques is essential to prevent infection.
B. Avoiding liver-toxic chemicals helps maintain liver health but does not prevent hepatitis E infection.
C. Avoiding contaminated water and food also helps prevent hepatitis E since it is often spread through contaminated sources.
D. Limiting alcohol intake supports liver health but is not a direct preventive measure against hepatitis E virus.
Correct Answer is ["1","740"]
Explanation
Step 1: Convert all items to milliliters (mL)
- cup of coffee = 240 mL
3 oz of juice = 3 × 30 = 90 mL
Milk = 240 mL
Milkshake = 210 mL
12 oz of tea = 12 × 30 = 360 mL
3 oz of Jello = 3 × 30 = 90 mL
12 oz cola = 12 × 30 = 360 mL
Water with meds = 150 mL
Step 2: Add all volumes
240 + 90 + 240 + 210 + 360 + 90 + 360 + 150 = 1,740 mL
Rationale:
To document oral intake, all fluids—including gelatin—must be included and converted to mL (1 oz = 30 mL). Sum all volumes to get the total intake.
Final Answer: 1,740 mL
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