Exam 46: Management of Clients with Exocrine Pancreatic and Biliary Disorders

The nurse explains that for a client who is a poor surgical risk, one of the nonsurgical alternatives for gallstone disease is

The nurse is providing discharge instructions to a client going home with a T tube after an open cholecystectomy. Goals for teaching have been met when the client says

The nursing diagnosis that would serve as the primary guide when providing care to a client with cystic fibrosis (CF) is

Health promotion activities a nurse could recommend to a client in order to prevent pancreatitis include (Select all that apply)

Activities the nurse could suggest to a client interested in preventing gallstone formation include which of the following?

In preparing the teaching plan on dietary changes after discharge for a client with chronic pancreatitis, the nurse would know that the statement most indicative of the client's understanding of the information is

A client with acute pancreatitis has a drop in blood pressure from (142/80) to (105/65) mm Hg at 2 hours after admission. The client has not voided and has become short of breath. The nurse would anticipate that the abnormal laboratory value consistent with these manifestations is

A client with a T tube following choledochostomy asks the nurse why the tube is being clamped during mealtimes. The most accurate response by the nurse is

The nurse planning the care of a client admitted with severe pancreatitis would anticipate the diet order of

The morning after admission, a client being treated for gallstones begins to vomit about every 15 minutes and is complaining of abdominal pain. The most appropriate action by the nurse would be to

When a client is admitted to the hospital for treatment of acute cholecystitis, the nurse would anticipate that the immediate medical management will be

A nurse assessing the first 24 hours of drainage from a T tube inserted during surgery for cholelithiasis would record as normal the T-tube output of

A client returned to the nursing unit after cholecystectomy with common bile duct exploration has bile leaking from around the wound. The most appropriate nursing intervention at this time would be to

A client is admitted with acute pancreatitis. The orders are for "pancreatic rest." The nurse would implement which of the following? (Select all that apply.)

A client with a history of cholelithiasis presents at the hospital with nausea and vomiting, abdominal pain, and jaundice. The nurse would assess the client for

A nurse is teaching a client and spouse about insulin administration. The spouse becomes quite upset, saying "Why are we having to use insulin at home? The diagnosis is pancreatitis! How did you make him a diabetic?" The best response by the nurse is

A client who had pancreatic surgery has been started on medication therapy with pancrelipase (Pancrease). The manifestation that the nurse would report as an indication that the dosage may be insufficient is

The nurse recognizes that the client with gallstones who would be the best candidate for treatment with extracorporeal shock wave lithotripsy (ECSL) is a client with

A client has returned from an open cholecystectomy. The nurse places the highest priority on which intervention?

A nurse is providing discharge instructions for a post-cholecystectomy client. The nurse would view the goals for teaching had been effective when the client states he/she would