The nurse caring for a patient discharged to the home after extensive pancreatitic surgery documents the nursing diagnosis of risk for imbalanced nutrition: less than body requirements
The home care nurse arrives at this nursing diagnosis based upon the potential complications that may occur after surgery. Potential complications include:
A) Proteinuria and hyperkalemia
B) Hemorrhage and hypercalcemia
C) Weight loss and hypoglycemia
D) Malabsorption and hyperglycemia
Ans: D
Feedback: The nurse arrives at this diagnosis based upon the complications of malabsorption and hyperglycemia, which often lead to the need for dietary modifications. Pancreatic enzyme replacement, a low-fat diet, and vitamin supplementation are also often required to meet the patient's nutritional needs and restrictions. Electrolyte imbalances frequently accompany pancreatic disorders and surgery, but the electrolyte levels are more often deficient than excessive. Hemorrhage is a complication related to surgery but not specific to the nutritionally based nursing diagnosis. Weight loss is a common complication related to pancreatic disorders but is excluded as an answer due to its combination in option C with hypoglycemia.
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