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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Hirschsprung's disease: Hirschsprung’s disease is caused by a congenital absence of ganglion cells in the colon, leading to impaired peristalsis and mechanical obstruction. This condition presents with symptoms such as delayed meconium passage, abdominal distention, and constipation.
B. Pyloric stenosis: Pyloric stenosis is characterized by hypertrophy of the pylorus, causing gastric outlet obstruction. It presents with projectile vomiting rather than mechanical obstruction of the lower intestine.
C. Crohn’s disease: Crohn’s disease is an inflammatory bowel condition, not a congenital disorder of motility. It primarily causes inflammation rather than mechanical obstruction.
D. Enterocolitis: Enterocolitis refers to inflammation of the intestines, which can occur due to infections or conditions like necrotizing enterocolitis (NEC) in preterm infants. It does not primarily present as a congenital mechanical obstruction.
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.
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