The nurse is caring for a client with acute pancreatitis. Which of the following would the nurse anticipate seeing in the client's history?

Cholelithiasis

Constipation

Splenomegaly

Ascites

Answer and Explanation

The Correct Answer is A

A. Cholelithiasis: Gallstones (cholelithiasis) are a major cause of acute pancreatitis because they can block the pancreatic duct, leading to inflammation and autodigestion of the pancreas.

B. Constipation: Pancreatitis is more commonly associated with diarrhea due to malabsorption, rather than constipation.

C. Splenomegaly: Splenomegaly (enlarged spleen) is associated with portal hypertension from liver disease, not pancreatitis.

D. Ascites: Ascites is seen in advanced liver disease (e.g., cirrhosis) rather than acute pancreatitis, though severe cases of pancreatitis can lead to fluid accumulation in the abdomen.

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Correct Answer is B

Explanation

peritonitis are present. Treating the underlying cause (perforation) is more urgent than lowering the fever.

B. Notify the healthcare provider: A hard, rigid abdomen with fever indicates possible perforation and peritonitis, which is a medical emergency. The provider must be notified immediately for urgent intervention.

C. Prepare to administer an enema: Enemas are contraindicated in acute diverticulitis due to the risk of perforation.

D. Continue to monitor the client closely: While continued monitoring is always necessary, immediate action (calling the provider) is critical when signs of peritonitis are present.

A. increased serum amylase B. Decreased serum lipase C. Increased serum calcium D. Decreased WBC

Correct Answer is A

Explanation

A. Increased serum amylase: Amylase, like lipase, is an enzyme produced by the pancreas. In acute pancreatitis, amylase levels rise significantly due to pancreatic inflammation.

B. Decreased serum lipase: Lipase is actually increased, not decreased, in pancreatitis. Elevated lipase is more specific than amylase for diagnosing pancreatitis.

C. Increased serum calcium: Hypocalcemia (low calcium) is more commonly seen in acute pancreatitis due to fat necrosis binding calcium in the pancreas.

D. Decreased WBC: WBC count is usually elevated in acute pancreatitis due to the body’s inflammatory response.

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The nurse is caring for a client with acute pancreatitis. Which of the following would the nurse anticipate seeing in the client's history?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client diagnosed with acute diverticulitis is complaining of severe abdominal pain. On assessment, the nurse finds a hard, rigid abdomen and a temperature of 102 F. Which of the following is the highest priority?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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