Which of the following is a common risk factor for the development of pancreatic cancer?

Viral hepatitis

High fiber diet

Chronic pancreatitis

Regular exercise

Answer and Explanation

The Correct Answer is C

A. Viral hepatitis: Hepatitis B and C are risk factors for liver cancer, not pancreatic cancer. There is no strong link between hepatitis and pancreatic cancer.

B. High-fiber diet: A high-fiber diet is protective against colorectal cancer, not a risk factor for pancreatic cancer.

C. Chronic pancreatitis: Chronic inflammation of the pancreas increases the risk of pancreatic cancer by causing long-term cellular damage and mutations.

D. Regular exercise: Exercise reduces the risk of many cancers, including pancreatic cancer. Sedentary lifestyles and obesity increase the risk.

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Correct Answer is B

Explanation

A. Hang IV fluids of CSNS with 20 mEq of potassium chloride at 125 ml/hr: Fluid resuscitation is important, but potassium should not be administered until electrolyte levels are assessed. Also, potassium administration in a client with a bowel obstruction requires caution due to the risk of hyperkalemia if renal function is impaired.

B. Insert a nasogastric tube: A nasogastric (NG) tube is essential in managing bowel obstruction as it helps decompress the stomach, relieve pressure, and prevent aspiration. This should be done first to stabilize the client.

C. Draw a basic metabolic panel: Checking electrolyte imbalances is important but should be done after stabilizing the client with NG tube insertion.

D. Ambulate in the hallway: Ambulation is contraindicated in acute bowel obstruction due to the risk of worsening symptoms such as nausea, vomiting, and severe pain.

A. Only use a soft-bristle toothbrush B. Apply an ice pack over a bleeding wound C. Use a Boss pick instead of the four string to floss in between the teeth D. Wear sleeveless or short-sleeved shirts and shorts to better visualize any skin issues

Correct Answer is A

Explanation

A. Only use a soft-bristle toothbrush: Clients with thrombocytopenia are at risk for bleeding, including gum bleeding. Using a soft-bristle toothbrush minimizes trauma to the gums and reduces the risk of bleeding.

B. Apply an ice pack over a bleeding wound: While ice can help constrict blood vessels and reduce minor bleeding, it is not the primary preventative measure for thrombocytopenia-related bleeding.

C. Use a floss pick instead of the floss string to clean between teeth: A floss pick may still cause gum trauma. It is recommended to use a soft flossing technique or avoid flossing if platelet counts are extremely low.

D. Wear sleeveless or short-sleeved shirts and shorts to better visualize any skin issues: While monitoring for petechiae or bruising is important, it does not actively prevent bleeding complications.

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Which of the following is a common risk factor for the development of pancreatic cancer?

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Naxlex Comprehensive Predictor Exams

The emergency room nurse is caring for a client just diagnosed with a bowel obstruction secondary to adhesions. Which of the following orders should the nurse complete first?

Correct Answer is B

Explanation

A nurse is caring for a client who has end-stage liver disease and a recent diagnosis of thrombocytopenia. Which of the following statements provides the best recommendation to prevent complications of bleeding?

Correct Answer is A

Explanation

A nurse admits a client to the emergency department who reports nausea and vomiting that worsens when he lies down. Antacids do not help. The provider suspects acute pancreatitis. Which of the following laboratory test results should the nurse expect to see?

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

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

A nurse is teaching a client about causes of biliary cirrhosis. Which of the following information should the nurse include in the teaching?

A nurse is planning care for a client who has end-stage cirrhosis of the liver with hepatic encephalopathy. Which of the following interventions should the nurse plan to implement to decrease the client's ammonia level?

A nurse in a PACU is assessing a client who has a newly created colostomy. Which of the following findings should the nurse report to the provider?

The nurse is caring for a client with cirrhosis, portal hypertension, and esophageal varices. Which of the following is not a potential intervention?

The nurse is caring for a client with cirrhosis, portal hypertension, and encephalopathy. Which of the following orders would be anticipated to lower the ammonia level? (Select All that Apply)