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 D
Explanation
A. "The ileostomy is temporary and can be reversed after 3-4 months.": A total colectomy with ileostomy is typically permanent unless the client is undergoing a two-stage procedure to create a J-pouch.
B. "This procedure will slow down the number of diarrhea stools you pass per rectum.": A total colectomy removes the colon, so stool will no longer pass per rectum. Instead, stool is collected in an external ileostomy bag.
C. "Stool produced by the ileostomy will be firm and require manual removal to drain.": Stool from an ileostomy is liquid to semi-formed due to the lack of water absorption. It does not require manual removal.
D. "This procedure is curative as it removes the part of the bowel affected by the disease.": Ulcerative colitis only affects the colon and rectum. A total colectomy removes the diseased portion, effectively curing the condition.
Correct Answer is A
Explanation
A. Lower left quadrant: Most diverticula occur in the sigmoid colon, causing LLQ pain.
B. Upper left quadrant: The upper left quadrant is not a common location for diverticular disease pain.
C. Upper right quadrant: URQ pain is more associated with gallbladder disease.
D. Lower right quadrant: LRQ pain is more common in appendicitis.
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