A nurse who provides care in a community clinic assesses a wide range of individuals. The nurse should identify which client as having the highest risk for chronic pancreatitis?

A 45-year-old obese woman with a high-fat diet

An 18-year-old man who is a weekend binge drinker

A 39-year-old man with chronic alcoholism

A 51-year-old woman who smokes one-and-a-half packs of cigarettes per day

Answer and Explanation

The Correct Answer is C

A. While obesity and a high-fat diet increase risks for gallstones, they are less directly associated with chronic pancreatitis.
B. Weekend binge drinking can cause acute pancreatitis but is less likely to lead to chronic pancreatitis compared to sustained alcohol abuse.
C. Chronic alcoholism is the leading cause of chronic pancreatitis due to repeated pancreatic inflammation and damage.
D. Smoking is a risk factor that can worsen pancreatitis but alone is less significant than chronic alcohol use.

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Correct Answer is A

Explanation

A. Gallstones are one of the most common causes of acute pancreatitis. They can obstruct the pancreatic duct, leading to inflammation and enzyme activation within the pancreas.
B. Hypolipidemia is not associated with pancreatitis; in fact, hyperlipidemia is a known risk factor.
C. COPD is unrelated to pancreatic inflammation and is not a typical risk factor.
D. Diabetes mellitus is more often a complication of chronic pancreatitis, not a primary cause of acute pancreatitis.

A. Adequate sleep B. Low stimulation C. Exercise D. Low-fat diet

Correct Answer is C

Explanation

A. While adequate sleep supports overall health and metabolic function, it does not significantly reduce the body’s need for insulin in the short term.
B. Low stimulation may reduce stress but has minimal direct impact on glucose metabolism.
C. Exercise increases insulin sensitivity, promotes glucose uptake by muscle cells, and significantly lowers blood glucose levels, making it the most effective nonpharmacologic strategy to reduce insulin needs.
D. A low-fat diet may benefit cardiovascular health, but carbohydrate intake and physical activity have a more direct impact on insulin needs and glucose control.

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A nurse who provides care in a community clinic assesses a wide range of individuals. The nurse should identify which client as having the highest risk for chronic pancreatitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is interviewing a client who has acute pancreatitis. Which of the following factors should the nurse anticipate finding in the client's history?

Correct Answer is A

Explanation

Correct Answer is C

Explanation

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