Which laboratory results are the most important to monitor in acute pancreatitis?
Why are they significant?
• Amylase and lipase.
• The pancreas is both an exocrine and an endocrine gland. The exocrine part consists of secretory
units called pancreatic acini that produce and secrete encapsulated lipase and amylase through the
pancreatic duct into the CBD. These time-released capsules travel into the duodenum through the
sphincter of Oddi (major papilla); total time to self-destruction is about 12 hours. This process is
stimulated with oral intake, especially diets high in proteins. If the transport of amylase and lipase
is blocked, then the protein-digesting enzymes are activated proximal to the blockage and begin
to digest proteins in their environment (i.e., the pancreas itself), causing inflammation and
severe pain.
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The client is postoperative day three from abdominal surgery. He states that he hasn't slept more than an hour or so at a time due to the pain, but does not want to take medication to assist with sleeping
The nurse describes the functions of sleep as: Standard Text: Select all that apply. 1. Necessary for protein synthesis. 2. Restores normal levels of activity. 3. Restores balance within the nervous system. 4. Necessary for fat metabolism. 5. Sympathetic nervous system activity.
If the nurse is working on a unit with a blame-free environment, which is the initial action when the nurse makes an error?
1. Discuss it with the other nurses on duty. 2. Immediately report the incident to the supervisor. 3. If there is a client involved, ensure the client?s safety. 4. Make sure no one saw the incident and say nothing.
The presence of excess bands in the peripheral blood that indicate severe infection is called
a. shift to the left. b. shift to the right. c. bone marrow aspiration. d. thrombocytosis.
Which of the following treatments for a client with stress is considered symptomatic rather than curative?
A) Shock treatment B) Spiritual healing C) Drug treatment D) Touch therapy