An adult client is admitted to the emergency department with symptoms of acute pancreatitis. Which data support this diagnosis?

Malabsorption and weight loss

Fluid retention and hypertension

Lipase 3200 u/L (20-180 u/L) and Turner sign

Amylase 35 u/L (30-170 u/L) and steatorrhea

Answer and Explanation

The Correct Answer is C

A) These symptoms are more indicative of chronic conditions.

B) These are not specific to acute pancreatitis.

C) Elevated lipase and Turner's sign (bruising around the flanks) strongly suggest acute pancreatitis.
D) Amylase within normal limits and steatorrhea do not support acute pancreatitis.

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Correct Answer is D

Explanation

A) While reviewing the diet history is important to understand nutritional intake and habits, it is not the priority action in this case.
B) Consulting a dietitian is important but should follow an assessment that identifies the specific issue causing the symptoms.
C) This action may be necessary if the patient is dehydrated but doesn’t address the primary concern of foul-smelling stools and weight loss.
D) This test is crucial as it helps confirm the diagnosis of malabsorption, which is likely given the patient’s history of chronic pancreatitis and symptoms described. This would be the priority to confirm the cause of the symptoms.

A. Request a dietary consult B. Order a 2 gram sodium restriction diet C. Initiate a fluid restriction D. Hold the spironolactone and furosemide

Correct Answer is D

Explanation

A) Requesting a dietary consult is useful but not the most immediate action needed.

B) Ordering a 2 gram sodium restriction diet is important but not addressing the immediate issue of electrolyte imbalance.
C) Fluid restriction may be considered but not before addressing the electrolyte issues.
D) Holding the spironolactone and furosemide is the correct action, as administering these could exacerbate the existing hypokalemia and hyponatremia, increasing the risk of adverse effects.

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An adult client is admitted to the emergency department with symptoms of acute pancreatitis. Which data support this diagnosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a history of chronic pancreatitis reports weight loss of 10 pounds over the last month and foul smelling stools. What would be a priority action for the nurse to take?

Correct Answer is D

Explanation

The nurse is preparing to administer spironolactone (Aldactone) and furosemide (Lasix) at 0900 to a client diagnosed with ascites. Review of 0600 laboratory results shows serum sodium 130 mEq/L (136-145 mEq/L) and potassium 3.1 mEq/L (3.5-5.0 mEq/L). Which action should the nurse take first?

Correct Answer is D

Explanation

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