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.”

Answer and Explanation

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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Correct Answer is B

Explanation

A. A client admitted with pancreatitis who is requesting pain medication: While pancreatitis causes severe pain, this is not the highest priority. Pain management is important, but it does not indicate an immediate life-threatening issue.

B. A client post a liver biopsy who has tachycardia and is restless: Tachycardia and restlessness following a liver biopsy may indicate internal bleeding due to liver puncture. The liver is highly vascular, and hemorrhage is a serious complication requiring immediate assessment.

C. A client admitted with ulcerative colitis who is requesting an anti-diarrheal: While diarrhea is distressing, this is not life-threatening. The client can be seen after addressing the higher-priority client.

D. A client postop day 1 with dark red drainage the size of a dime on the dressing: Small amounts of dark red drainage are expected postoperatively. This client does not require immediate attention.

A. Stoma coding red drainage B. Rosebud-like stoma orifice C. Purplish colored stoma D. Shiny, moist stoma

Correct Answer is C

Explanation

A. Stoma oozing red drainage: Some drainage is expected postoperatively.

B. Rosebud-like stoma orifice: This is a normal appearance of a healthy stoma.

C. Purplish colored stoma: A purplish stoma indicates ischemia or poor perfusion and requires immediate intervention.

D. Shiny, moist stoma: This is a normal finding for a stoma.

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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

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Naxlex Comprehensive Predictor Exams

The nurse has been assigned to provide care for four clients on the day shift. Aher hearing the 1500 hand-off report, which client does the nurse prioritize to see first?

Correct Answer is B

Explanation

A nurse in a PACU is assessing a client who has a newly created colostomy. Which of the following findings should the nurse report to the provider?

Correct Answer is C

Explanation

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

A nurse is caring for a client who has end-stage liver disease and a recent diagnosis of thrombocytopenia. Which of the following statements provides the best recommendation to prevent complications of bleeding?

A nurse is planning care for a client who has end-stage cirrhosis of the liver with hepatic encephalopathy. Which of the following interventions should the nurse plan to implement to decrease the client's ammonia level?

A nurse is providing discharge instructors to a client with hepatitis B. Which of the following statements should be included in the teaching?

The emergency room nurse is caring for a client just diagnosed with a bowel obstruction secondary to adhesions. Which of the following orders should the nurse complete first?

The nurse is reviewing the record of a client with a diagnoses of Cirrhosis and notes that there is documentation of the presence of asterixis. How should the nurse assess for its presence?

Which statement by a client indicates an understanding of the spread of Hepatitis C?

A nurse admits a client to the emergency department who reports nausea and vomiting that worsens when he lies down. Antacids do not help. The provider suspects acute pancreatitis. Which of the following laboratory test results should the nurse expect to see?

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