The pathophysiology instructor is teaching the pre-nursing students about chronic pancreatitis. What complication of chronic pancreatitis would the instructor stress must be assessed for?
A) Rapid weight gain
B) Constipation
C) Fluid volume excess
D) Elevated blood sugar levels
Ans: D
Feedback: An abnormal glucose tolerance test may indicate the presence of diabetes mellitus. Diabetes mellitus resulting from the dysfunction of the pancreatitic islet cells is treated with diet, insulin, or oral antidiabetic agents. Weight loss is a major problem in chronic pancreatitis, as more than 75% of the patients with this condition experience significant weight loss. Fluid volume deficiency is also a common problem related to the vomiting and anorexia associated with this condition. Constipation is not a concern, as the patient often produces frequent, frothy, and foul-smelling stools with a high fat content (steatorrhea).
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