Understanding the pathophysiology of chronic pancreatitis, the nurse is aware that she must assess for the onset of which complication?
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, which results from the dysfunction of the pancreatitic islet cells. It is treated with diet, insulin, or oral antidiabetic agents. Weight loss is a major problem in chronic pancreatitis; 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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The nurse reads a peer-reviewed nursing journal article that recommends changing the procedure for caring for a patient with an indwelling urinary catheter. The nurse displays critical thinking with what action?
1. Changing how the nurse provides care for a patient with an indwelling catheter according to the article 2. Taking the journal article to the nurse manager and suggesting the procedure be rewritten 3. Searching for other peer-reviewed articles that support this author's recommendation 4. Ignoring the article and following the procedure as written at the facility where the nurse works
The nurse is caring for a client status one day after colon resection with anastomosis. The client has a nasogastric tube in place, putting him on NPO status. The nurse is aware this places the client in what state?
A) Protein–energy malnutrition C) Marasmus B) Negative nitrogen balance D) Neutral nitrogen balance
The nurse is teaching a client to self-administer subcutaneous heparin at home. What does the nurse include in client teaching?
1. Use a 22-gauge, 1-inch needle for the heparin injections. 2. Change needles after withdrawing the heparin from the vial. 3. Instruct the client and family to recap all needles used at home. 4. Grab a large pinch of skin and inject heparin into center of skinfold.
When an adolescent with a new diagnosis of Ewing's sarcoma asks the nurse about treatment, the nurse's response should be based on which information? Select all that apply
a. This type of tumor invades the bone. b. Management includes chemotherapy, surgery, and radiation. c. Ewing's sarcoma is usually not responsive to either chemotherapy or radiation. d. Affected bones such as ribs and proximal fibula may be removed to excise the tumor.