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. Lactulose works by reducing the absorption of ammonia in the intestines, a key factor in hepatic encephalopathy. The desired effect is two to three soft stools per day, which helps eliminate ammonia.
B. Lactulose does not directly affect appetite or food intake.
C. Although gastrointestinal symptoms may improve, lactulose is not used to treat nausea and vomiting.
D. Lactulose is not indicated for treating or preventing gastrointestinal bleeding or mucus in the stool.
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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