The nurse is analyzing the diagnostic study results of a patient admitted with acute pancreatitis. What diagnostic findings are consistent with the diagnosis of acute pancreatitis?
A) Decrease in amylase and lipase levels
B) Fluid and electrolyte imbalance
C) Hypercalcemia
D) Proteinuria
Ans: B
Feedback: Fluid and electrolyte imbalances are common complications of pancreatitis because of nausea and vomiting, movement of fluid from the vascular compartment to the peritoneal cavity, diaphoresis, fever, and the use of gastric suction.
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A nurse is working with a group and would like to facilitate successful collaboration. Which of the following would be the most important factor for the nurse to consider?
a. Focus of the group b. Planned change that will occur c. Decisions made by executive director d. Open and frequent communication
What complication should be suspected in the patient who has experienced abruptio placentae, hydatidiform mole, or a retained dead fetus?
a. Pregnancy-induced hypertension b. Septic shock c. Disseminated intravascular coagulation d. Hyperemesis gravidarum
The nurse is planning care for a client who receives total parenteral nutrition. What will the best plan by the nurse include?
1. Check the feeding tube for residual prior to initiating feedings. 2. Remove the solution from the refrigerator 30 minutes prior to hanging. 3. Withhold oral medications while the total parenteral nutrition (TPN) is hanging. 4. Maintain a dedicated percutaneous endoscopic gastrostomy (PEG) tube for the solution.
An aide in a psychiatric hospital says to the nurse, "We don't have time every day to help each patient complete a menu selection. Let's tell dietary to prepare popular choices and send them to our unit." Select the nurse's best response
a. "Thanks for the suggestion, but that idea may not work because so many patients take MAOI (monoamine oxidase inhibitor) antidepressants." b. "Thanks for the idea, but it's important to treat patients as individuals. Giving choices is one way we can respect patients' individuality." c. "Thank you for the suggestion, but the patients' bill of rights requires us to allow patients to select their own diet." d. "Thank you. That is a very good idea. It will make meal preparation easier for the dietary department."