The nurse and the orientee are receiving a client from the Post Anesthesia Care Unit (PACU) following a Pancreaticoduodenectomy (Whipple) procedure What statements by the orientee indicate that teaching has been effective regarding this type of patient?
(Select All that Apply
The client most likely has a diagnosis of pancreatic cancer."
"I will carefully assess the newly formed ileostomy stoma every four hours"
"Following this procedure, the client is at a higher risk for developing malabsorption issues.”
"The recovery time after a Whipple procedure is long.”
Correct Answer : A,C,D
A. "The client most likely has a diagnosis of pancreatic cancer." The Whipple procedure is primarily performed for pancreatic cancer, particularly in the head of the pancreas.
B. "I will carefully assess the newly formed ileostomy stoma every four hours." The Whipple procedure does not involve creating an ileostomy. It involves removal of the pancreas head, duodenum, gallbladder, and bile duct, with digestive tract reconstruction.
C. "Following this procedure, the client is at a higher risk for developing malabsorption issues." Since a portion of the pancreas is removed, clients may experience malabsorption and pancreatic enzyme insufficiency, leading to steatorrhea and nutrient deficiencies.
D. "The recovery time after a Whipple procedure is long." The Whipple procedure is major surgery with a prolonged recovery period due to the complexity of digestive system reconstruction and the risk of complications like delayed gastric emptying and anastomotic leakage.
E. "With this procedure completed, the client's prognosis is good." Pancreatic cancer has a poor prognosis even after a Whipple procedure. Survival rates remain low, and recurrence is common.
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Related Questions
Correct Answer is C
Explanation
A. Hirschsprung's disease: Hirschsprung’s disease is caused by a congenital absence of ganglion cells in the colon, leading to impaired peristalsis and mechanical obstruction. This condition presents with symptoms such as delayed meconium passage, abdominal distention, and constipation.
B. Pyloric stenosis: Pyloric stenosis is characterized by hypertrophy of the pylorus, causing gastric outlet obstruction. It presents with projectile vomiting rather than mechanical obstruction of the lower intestine.
C. Crohn’s disease: Crohn’s disease is an inflammatory bowel condition, not a congenital disorder of motility. It primarily causes inflammation rather than mechanical obstruction.
D. Enterocolitis: Enterocolitis refers to inflammation of the intestines, which can occur due to infections or conditions like necrotizing enterocolitis (NEC) in preterm infants. It does not primarily present as a congenital mechanical obstruction.
Correct Answer is C
Explanation
A. Viral hepatitis: Hepatitis B and C are risk factors for liver cancer, not pancreatic cancer. There is no strong link between hepatitis and pancreatic cancer.
B. High-fiber diet: A high-fiber diet is protective against colorectal cancer, not a risk factor for pancreatic cancer.
C. Chronic pancreatitis: Chronic inflammation of the pancreas increases the risk of pancreatic cancer by causing long-term cellular damage and mutations.
D. Regular exercise: Exercise reduces the risk of many cancers, including pancreatic cancer. Sedentary lifestyles and obesity increase the risk.
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