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
a. black, tarry stools.
b. clay-colored stools.
c. constipation.
d. steatorrhea.
D
When the client begins to eat, the nurse should watch for the development of diarrhea and stea-torrhea (fatty stools), which indicate that insufficient pancreatic enzymes are present.
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The patient is supine and the head is flexed to the chest without pain, resistance, or flexion of the hips or knees. The nurse is observing for which finding?
1. Doll's eyes reflex 2. Brudzinski sign 3. Babinski reflex 4. Kernig's sign
Reflecting upon the client's other symptoms, the nurse determines the client likely has developed hepatic encephalopathy when the client:
1. Becomes increasingly agitated, with changes in mentation. 2. Begins to have bleeding esophageal varices. 3. Has ascites. 4. Begins to complain of a significant headache.
A doctor's order for a 24-hour stool specimen collection indicates to the nurse that the physician needs to:
1. Analyze the stool for dietary products and digestive secretions. 2. Detect the presence of bacteria or viruses. 3. Detect the presence of ova and parasites. 4. Determine the presence of occult blood.
As you monitor D.H., you observe for prolapse of the umbilical cord. Describe what this is and what can happen to the fetus if this occurs.
What will be an ideal response?