The client is admitted to the medical unit with suspected acute pancreatitis. Which laboratory values should the nurse monitor to confirm this diagnosis?

Serum bilirubin and calcium

Serum amylase and lipase

Creatinine and BUN

Troponin and CK-MB

Answer and Explanation

The Correct Answer is B

A. Serum bilirubin and calcium can be affected in pancreatitis but are not the primary diagnostic indicators.
B. Serum amylase and lipase are the primary enzymes used to diagnose acute pancreatitis. These enzymes are released by the pancreas, and their levels rise significantly in response to pancreatic inflammation. Lipase, in particular, is more specific to pancreatitis and remains elevated longer than amylase.
C. Creatinine and BUN assess kidney function and are not directly related to diagnosing pancreatitis.
D. Troponin and CK-MB are cardiac markers used to diagnose myocardial infarction, not pancreatitis.

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Correct Answer is A

Explanation

A. Splinting the incision with a pillow helps reduce pain and allows more effective coughing.
B. Deep breathing and coughing should be performed more frequently than every 4 hours, usually every 1-2 hours.
C. Pain medication should be taken before performing exercises to facilitate effective breathing and coughing, not after.
D. The incentive spirometer should be used frequently, including while in bed, not only after getting out of bed.

A. Institute urine glucose monitoring. B. Administer an oral hypoglycemic. C. Administer supplemental doses of regular insulin according to the sliding scale. D. Decrease the rate of intravenous infusion.

Correct Answer is C

Explanation

A. Urine glucose monitoring is less accurate and not the priority in managing elevated blood glucose.
B. Oral hypoglycemics are not effective or recommended for type 1 diabetes because they do not replace insulin.
C. Elevated blood glucose in a client with type 1 diabetes post-surgery is typically managed by administering regular insulin doses as per sliding scale to maintain glycemic control.
D. Decreasing IV fluids is not indicated unless they contain glucose and are contributing to hyperglycemia; this decision depends on the fluid type and physician orders.

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The client is admitted to the medical unit with suspected acute pancreatitis. Which laboratory values should the nurse monitor to confirm this diagnosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse instructs a preoperative client on how to perform deep-breathing exercises and cough effectively after surgery. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

Four hours after surgery, the blood glucose level of a client who has type 1 diabetes is elevated. Which of the following actions would the nurse expect?

Correct Answer is C

Explanation

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