A nurse is planning care for a dent who has diverticulitis. The nurse should plan to monitor the client for which of the following complications of diverticulitis?

Dysphagia

Crohn’s disease

Peritonitis

Ulcerative colitis

Answer and Explanation

The Correct Answer is C

A. Dysphagia: Dysphagia (difficulty swallowing) is unrelated to diverticulitis; it is more common in esophageal disorders.

B. Crohn’s disease: Crohn’s disease is a separate chronic inflammatory bowel disease (IBD), not a complication of diverticulitis.

C. Peritonitis: Peritonitis is a life-threatening complication of diverticulitis. If an inflamed diverticulum perforates, stool and bacteria spill into the peritoneal cavity, causing severe abdominal pain, rigidity, fever, and tachycardia.

D. Ulcerative colitis: Ulcerative colitis is another form of IBD, unrelated to diverticulitis.

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Correct Answer is ["A","C","D"]

Explanation

A. "The client most likely has a diagnosis of pancreatic cancer." The Whipple procedure is primarily performed for pancreatic cancer, particularly in the head of the pancreas.

B. "I will carefully assess the newly formed ileostomy stoma every four hours." The Whipple procedure does not involve creating an ileostomy. It involves removal of the pancreas head, duodenum, gallbladder, and bile duct, with digestive tract reconstruction.

C. "Following this procedure, the client is at a higher risk for developing malabsorption issues." Since a portion of the pancreas is removed, clients may experience malabsorption and pancreatic enzyme insufficiency, leading to steatorrhea and nutrient deficiencies.

D. "The recovery time after a Whipple procedure is long." The Whipple procedure is major surgery with a prolonged recovery period due to the complexity of digestive system reconstruction and the risk of complications like delayed gastric emptying and anastomotic leakage.

E. "With this procedure completed, the client's prognosis is good." Pancreatic cancer has a poor prognosis even after a Whipple procedure. Survival rates remain low, and recurrence is common.

A. Decrease levels of CEA indicate the treatment of your colon cancer was effective B. Increased levels of CEA indicate that surgery to correct your diverticulitis was effective C. Increased levels of CEA indicate a return of your pancreatitis D. Decreased levels of CEA indicate that you have Ulcerative Colitis

Correct Answer is A

Explanation

A. Decrease levels of CEA indicate the treatment of your colon cancer was effective: CEA is a tumor marker primarily used to monitor treatment response in certain cancers, especially colorectal cancer. A decrease in CEA levels after treatment suggests a positive response and reduced tumor burden.

B. Increased levels of CEA indicate that surgery to correct your diverticulitis was effective: CEA is not used to monitor diverticulitis. It is mainly associated with cancers, particularly colorectal cancer. An increase in CEA levels suggests possible cancer recurrence or progression, not resolution of diverticulitis.

C. Increased levels of CEA indicate a return of your pancreatitis: CEA is not a marker for pancreatitis. Pancreatitis is typically monitored using amylase, lipase, and imaging studies.

D. Decreased levels of CEA indicate that you have Ulcerative Colitis: Ulcerative colitis is an inflammatory bowel disease (IBD) that is not diagnosed or monitored using CEA. While chronic inflammation may increase cancer risk over time, CEA is not a direct indicator of UC.

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A nurse is planning care for a dent who has diverticulitis. The nurse should plan to monitor the client for which of the following complications of diverticulitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse and the orientee are receiving a client from the Post Anesthesia Care Unit (PACU) following a Pancreaticoduodenectomy (Whipple) procedure What statements by the orientee indicate that teaching has been effective regarding this type of patient? (Select All that Apply

Correct Answer is ["A","C","D"]

Explanation

The nurse is caring for a client who asks why blood levels of Carcinoembryonic Antigen (CEA) is drawn at periodic intervals. Which of the following responses describes the correct rationale?

Correct Answer is A

Explanation

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