A home health nurse is caring for a patient discharged home after pancreatic surgery
The nurse documents the nursing diagnosis Risk for Imbalanced Nutrition: Less than Body Requirements on the care plan based on the potential complications that may occur after surgery. What are the most likely complications for the patient who has had pancreatic surgery?
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 on the complications of malabsorption and hyperglycemia. These complications often lead to the need for dietary modifications. Pancreatic enzyme replacement, a low-fat diet, and vitamin supplementation often are also required to meet the patient's nutritional needs and restrictions. Electrolyte imbalances often 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, but hypoglycemia is less likely.
You might also like to view...
The nurse is reviewing electrolytes and their functions with a client who has a history of electrolyte imbalance. One of the major cations noted in teeth and bones is:
1. Magnesium. 2. Calcium. 3. Potassium. 4. Phosphorus.
The following medication order has been written for a client: Indomethacin 15 mg oral suspension PO q 6 hours. The nurse has the following medication available: 25 mg/5 mL
How many mL of the medication will the nurse provide to the client? Round to the nearest whole number.
Intradermal injections commonly include diagnostic skin tests and are usually 1 mL or less
Indicate whether the statement is true or false
Which functions are shared by APHNs and NPs? (Select all that apply.)
a. Leadership b. Research c. Comprehensive assessment d. Systems focus e. Community assessment