The nurse is caring for a client with chronic pancreatitis who exhibits signs of malabsorption. The nurse recognizes that this is due to which pathophysiology process?
Impaired pancreatic enzyme production
Presence of viral infection
Hyperlipidemia
Increased vascular permeability
The Correct Answer is A
A) Chronic pancreatitis can lead to a decrease in enzyme production necessary for digestion, leading to malabsorption.
B) This does not typically cause malabsorption associated with chronic pancreatitis.
C) While it can occur with chronic pancreatitis, it does not directly cause malabsorption.
D) This is not related to the digestive malabsorption seen in chronic pancreatitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Chronic and excessive alcohol consumption is a well-established risk factor for the development of chronic pancreatitis.
B) While contributing to other health issues, it is not directly linked to chronic pancreatitis.
C) Smoking is a risk factor, but alcohol abuse is more significantly associated with chronic pancreatitis.
D) Although it contributes to various health problems, it is not as directly linked to chronic pancreatitis as alcohol abuse.

Correct Answer is D
Explanation
A) Breath with fecal odor could indicate hepatic encephalopathy, for which lactulose is indicated.
B) Increasing confusion is a symptom of hepatic encephalopathy suggests a need for lactulose.
C) Elevated ammonia levels indicate hepatic encephalopathy hence the need for lactulose.
D) If the client already has diarrhea, additional doses of lactulose (which acts as a laxative) could exacerbate this condition and might need to be adjusted or halted based on clinical judgment.
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