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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Calcium levels are often decreased in acute pancreatitis due to fat necrosis and calcium binding within the inflamed pancreas.
B. RBC count is not typically elevated in pancreatitis and is not a key diagnostic indicator.
C. Magnesium may be normal or decreased, but it is not a hallmark finding in pancreatitis.
D. Amylase is a digestive enzyme produced by the pancreas, and its levels rise significantly during acute pancreatitis, making it a primary diagnostic marker.
Correct Answer is D
Explanation
A. Pain in the left upper chest is more commonly associated with cardiac conditions, not gallbladder inflammation.
B. The inguinal region is not typically affected in cholecystitis.
C. Neck or jaw pain is characteristic of cardiac-related pain, especially myocardial infarction.
D. In cholecystitis, inflammation of the gallbladder can cause pain that radiates to the right shoulder or scapula, due to irritation of the phrenic nerve. This referred pain is a classic sign of gallbladder disease.
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