What have you learned about acute pancreatitis? (Select all that apply)
Secretions include amylase
Contains proteolytic enzymes that break down dietary proteins
Pancreatic enzymes auto-digest pancreatic cells and tissue
A reversible inflammatory process
Cardinal manifestation is abdominal pain - could be midabdominal, could be epigastric
Correct Answer : A,B,C,D,E
A. Secretions include amylase: Amylase is a digestive enzyme secreted by the pancreas that helps break down carbohydrates. Elevated serum amylase is a common diagnostic marker in acute pancreatitis.
B. Contains proteolytic enzymes that break down dietary proteins: The pancreas produces proteolytic enzymes like trypsin and chymotrypsin, which digest proteins in the small intestine under normal conditions.
C. Pancreatic enzymes auto-digest pancreatic cells and tissue: In acute pancreatitis, premature activation of these enzymes inside the pancreas leads to self-digestion and inflammation of pancreatic tissue.
D. A reversible inflammatory process: Acute pancreatitis is typically reversible with prompt treatment, unlike chronic pancreatitis which involves permanent structural damage and functional loss.
E. Cardinal manifestation is abdominal pain – could be midabdominal, could be epigastric: Severe abdominal pain is the hallmark symptom, commonly located in the epigastric or midabdominal region and may radiate to the back.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Bruton's disorder: Also known as X-linked agammaglobulinemia, this is a primary immunodeficiency that results in absent or reduced B cells and recurrent bacterial infections. It does not involve distinct facial features or limb defects as described in the question.
B. SCID: Severe Combined Immunodeficiency involves profound defects in both B and T lymphocyte function, leading to severe infections early in life. It is not associated with the described craniofacial abnormalities or limb deformities.
C. Potter syndrome: This condition is caused by severe oligohydramnios, often due to bilateral renal agenesis, and leads to characteristic physical features including widely spaced eyes with epicanthic folds, low-set ears, a broad or beaked nose, a receding chin, and limb deformities.
D. Down Syndrome: While individuals with Down Syndrome often have characteristic facial features such as upslanting palpebral fissures, flat nasal bridges, and low-set ears, they typically do not have beak-like noses, receding chins, or limb defects in the way described.
Correct Answer is ["C","D","E"]
Explanation
A. Optimizing pain: While pain management is important in any patient care plan, acute kidney injury typically does not cause significant pain unless associated with another condition such as obstruction or infection. It is not a primary focus unless the patient reports discomfort requiring intervention.
B. Protecting from falls: Fall prevention is a general safety measure but is not a specific priority related to AKI management unless the patient has associated risks like altered mental status, weakness, or dialysis-related hypotension. It is not a primary priority in early AKI care planning.
C. Monitoring electrolyte levels: AKI commonly leads to imbalances in potassium, sodium, calcium, and phosphorus due to impaired renal clearance. Hyperkalemia in particular poses serious cardiac risks, making electrolyte monitoring a top priority to prevent complications such as arrhythmias.
D. Assessing fluid balance: AKI affects the kidneys’ ability to excrete or conserve fluid, resulting in potential fluid overload or dehydration. Accurate intake and output tracking, daily weights, and edema assessment are essential to guide treatment and prevent respiratory or cardiovascular compromise.
E. Promoting infection control: Infection is both a potential cause and a complication of AKI, especially in hospitalized or catheterized patients. Maintaining strict aseptic technique, monitoring for signs of infection, and preventing sepsis are critical components of AKI management.
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