Which manifestations (S&S) alert the nurse to the possibility of pancreatitis in the patient who has elevated serum amylase and lipase levels?

Non-bloody diarrhea with abdominal cramps.

Belching and burping within one hour after eating.

Severe epigastric pain that radiates to his back.

Heartburn that worsens when lying down

Answer and Explanation

The Correct Answer is C

A. Non-bloody diarrhea with abdominal cramps: These symptoms are not typical of pancreatitis. They are more common in gastrointestinal infections or irritable bowel syndrome.

B. Belching and burping within one hour after eating: These symptoms are usually associated with gastroesophageal reflux disease (GERD) or dyspepsia, not pancreatitis.

C. Severe epigastric pain that radiates to his back: Severe epigastric pain that radiates to the back is a hallmark symptom of acute pancreatitis.

D. Heartburn that worsens when lying down: This symptom is more characteristic of GERD rather than pancreatitis.

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Correct Answer is C

Explanation

A. Administer some insulin: Insulin is not appropriate unless there is evidence of hyperglycemia, which is not suggested by the symptoms described.

B. Prepare the patient to receive a blood transfusion: The symptoms described are not indicative of a need for a blood transfusion but rather suggest adrenal insufficiency.

C. Administer IV glucose: Addisonian crisis can be triggered by stress and dehydration, leading to low blood sugar and symptoms such as weakness and confusion. Administering IV glucose can help manage hypoglycemia and provide immediate support.

D. Collect some urine and assess for glucosuria: The symptoms are more acute and related to adrenal insufficiency rather than glucosuria.

A. puffy appearance associated with hypersecretion of antidiuretic hormone (ADH) B. tissue puffiness associated with hypothyroidism C. proliferation of tissue behind the eyes that is common in hyperthyroidism, D. state of increased cerebral edema the morning after a college party. E. state of increased cerebral edema the morning after a college party.

Correct Answer is B

Explanation

A. Puffy appearance associated with hypersecretion of antidiuretic hormone (ADH): This describes the appearance associated with SIADH (Syndrome of Inappropriate Antidiuretic Hormone Secretion), not myxedema.

B. Tissue puffiness associated with hypothyroidism: Myxedema is a condition related to severe hypothyroidism, characterized by swelling of the skin and underlying tissues, giving a puffy appearance, especially in the face.

C. Proliferation of tissue behind the eyes that is common in hyperthyroidism: This describes exophthalmos, a condition often seen in Graves' disease, which is associated with hyperthyroidism, not myxedema.

D. State of increased cerebral edema the morning after a college party: This choice is incorrect and unrelated to the description of myxedema.

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Which manifestations (S&S) alert the nurse to the possibility of pancreatitis in the patient who has elevated serum amylase and lipase levels?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

Explanation

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