The nurse is reviewing the laboratory values of a client with acute Pancreatitis. The nurse can anticipate an elevation in which of the following?

Blood sugar

Troponin

Brain Natriuretic Peptide

Lipase

Answer and Explanation

The Correct Answer is D

A. Blood sugar: Acute pancreatitis causes inflammation and damage to the pancreas, reducing insulin production, leading to hyperglycemia but it is not as specific as lipase for diagnosing pancreatitis.

B. Troponin: Troponin is a marker of myocardial injury (e.g., heart attack) and is not typically elevated in pancreatitis.

C. Brain Natriuretic Peptide (BNP): BNP is released in response to heart failure and does not typically rise in pancreatitis.

D. Lipase: Lipase is an enzyme produced by the pancreas to digest fats. In acute pancreatitis, lipase levels are significantly elevated due to pancreatic injury.

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Correct Answer is A

Explanation

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.

A. Notify the health care provider B. Administer a 1-liter bolus of normal saline C. Inspect the biopsy site dressing D. Position the client on the right side

Correct Answer is C

Explanation

A. Notify the health care provider: While notifying the provider is important, assessing the client comes first to determine if there is active bleeding.

B. Administer a 1-liter bolus of normal saline: Fluid resuscitation is used for shock, but the cause of symptoms must be assessed first.

C. Inspect the biopsy site dressing: The most concerning complication after a liver biopsy is internal bleeding, as the liver is highly vascular. Pallor and near-syncope may indicate hemorrhage. The priority action is to assess the biopsy site for bleeding before taking further action.

D. Position the client on the right side: Clients are typically positioned on the right side after a liver biopsy to apply pressure and reduce bleeding risk, but since the client is already experiencing symptoms of hypovolemia, assessment and intervention for potential hemorrhage take precedence.

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The nurse is reviewing the laboratory values of a client with acute Pancreatitis. The nurse can anticipate an elevation in which of the following?

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Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

Explanation

The nurse is caring for a client who returned from a liver biopsy 30 minutes ago. The client presses the call light and upon arrival in the room the client is pale and complaining of feeling as if they might pass out what of the following is the nurses priority action?

Correct Answer is C

Explanation

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