Liver Pancreas and Biliary Tract Problems
6. Nursing management of the patient with acute pancreatitis includes
(select all that apply)
a. checking for signs of hypocalcemia.
b. providing a diet low in carbohydrates.
c. giving insulin based on a sliding scale.
d. observing stools for signs of steatorrhea.
e. monitoring for infection, particularly respiratory tract infection.
7. A patient with pancreatic cancer is admitted to the hospital for
evaluation of possible treatment options. The patient asks the nurse
to explain the Whipple procedure that the surgeon has described.
The explanation includes the information that a Whipple procedure
a. creating a bypass around the obstruction caused by the tumor
by joining the gallbladder to the jejunum.
b. resection of the entire pancreas and the distal portion of the
stomach, with anastomosis of the common bile duct and the
stomach into the duodenum.
c. removal of part of the pancreas, part of the stomach, the duodenum, and the gallbladder, with joining of the pancreatic duct,
the common bile duct, and the stomach into the jejunum.
d. radical removal of the pancreas, the duodenum, and the spleen,
and attachment of the stomach to the jejunum, which requires
oral supplementation of pancreatic digestive enzymes and
insulin replacement therapy.
8. The nursing management of the patient with cholecystitis associated with cholelithiasis is based on the knowledge that
a. shock-wave therapy should be tried initially.
b. once gallstones are removed, they tend not to recur.
c. the disorder can be successfully treated with oral bile salts that
d. laparoscopic cholecystectomy is the treatment of choice in most
patients who are symptomatic.
9. Teaching in relation to home management after a laparoscopic cholecystectomy should include
a. keeping the bandages on the puncture sites for 48 hours.
b. reporting any bile-colored drainage or pus from any incision.
c. using over-the-counter antiemetics if nausea and vomiting
d. emptying and measuring the contents of the bile bag from the
T tube every day
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