The nurse receives report for a client with acute pancreatitis on hospital day 2: NPO with NGT to low intermittent suction, VS: 110/60, 99.2°F-97- 22, 0.9% NS infusing at 125 mL/hour, and IV antibiotics have been started. Chart review reveals the following current laboratory results. Which is a priority for the nurse to report to the healthcare provider?
WBC 10,000/mm3 (5,000-10,000 mm3)
Serum potassium 3.5 mEq/L (3.5-5.0 mEq/L)
Serum albumin 4.8 g/dL (3.5-5 g/dL)
Lipase 900 u/L (20-180 u/L)
The Correct Answer is D
A) While an elevated WBC count may indicate infection, it is not unexpected in acute pancreatitis.
B) Serum potassium within normal range does not require immediate intervention.
C) Serum albumin within normal range does not require immediate intervention.
D) Lipase levels significantly elevated above the normal range indicate ongoing pancreatic inflammation and may require intervention or adjustment of treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) These are dilated veins in the esophagus that can rupture and lead to life- threatening bleeding.
B) While concerning and indicative of hepatic encephalopathy, it is not immediately life-threatening like a variceal bleed.
C) Indicates poor nutritional status and liver function but is not as acutely dangerous as bleeding varices.
D) This is a concern but does not represent an immediate life-threatening condition like esophageal varices.
Correct Answer is ["C","D","E"]
Explanation
A) Limited activity is not typically necessary unless specified by a physician.
B) A low-fat diet is usually recommended for a client with chronic pancreatitis.
C) Weight loss in chronic pancreatitis is common due to the risk of malnutrition and malabsorption.
D) Administration of pancrelipase is essential for aiding digestion if the pancreas is not producing enough enzymes.
E) Elimination of alcohol intake is critical to prevent further damage to the pancreas.
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