An acute pancreatitis patient who complains of muscle cramping. The nurse explains to the patient that is the typical sign and symptom of? Select best answer.
Dehydration
Hypermagnesemia
Hypocalcemia
Hyperkalemia
The Correct Answer is C
Choice A reason: Dehydration can cause muscle cramping, but it is not the most specific indicator of acute pancreatitis. The focus in this condition is more on electrolyte imbalances and systemic effects.
Choice B reason: Hypermagnesemia, or elevated magnesium levels, can lead to muscle weakness rather than cramping. It is not a common symptom of acute pancreatitis.
Choice C reason: Hypocalcemia, or low calcium levels, is a typical sign of acute pancreatitis and can cause muscle cramping and spasms. The inflammation of the pancreas can lead to the sequestration of calcium in fatty areas, resulting in low serum calcium levels.
Choice D reason: Hyperkalemia, or elevated potassium levels, can cause muscle weakness and cardiac issues but is not specifically associated with muscle cramping in acute pancreatitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Reinserting the tube without confirming its correct placement can cause harm or lead to complications. It is not the nurse's role to reinsert the tube without proper verification.
Choice B reason: Repositioning the tube without verifying its placement could also cause harm. Ensuring correct placement should be done before any attempts to reposition the tube.
Choice C reason: Documenting the findings and administering feedings without confirming the tube's correct placement can result in serious complications, such as feeding into the wrong location.
Choice D reason: Notifying the healthcare provider immediately is the appropriate action. The provider can order verification of tube placement, such as through an X-ray, to ensure it is correctly positioned before any feedings are administered.
Correct Answer is C
Explanation
Choice A reason: The use of a colostomy bag is expected following surgery for colorectal cancer that involves the creation of a stoma. This does not indicate a complication.
Choice B reason: A loss of appetite is common after major surgery and can be managed with nutritional support and gradual reintroduction of food.
Choice C reason: Absent bowel sounds in the lower abdominal quadrants could indicate a paralytic ileus or bowel obstruction, which are serious complications requiring immediate intervention to prevent further issues such as bowel ischemia.
Choice D reason: Mild pain at the surgical site is expected and can be managed with prescribed pain medications. It does not indicate a serious complication.
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