A nurse is preparing a presentation for new graduates about pancreatitis
After attending the seminar, which statement by a graduate nurse indicates the need for additional instruction? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "Pancreatitis is typically idiopathic."
2. "There is only one single test finding that will diagnose pancreatitis."
3. "An indication of pancreatitis is an elevation in serum amylase during the first 3 to 5 days."
4. "Necrotizing pancreatitis is a commonly occurring complication."
5. The risk of hypovolemic shock is very high with this disorder.
1,4
Rationale 1: There are a large number of predisposing factors associated with the development of pancreatitis. Additional teaching would be required.
Rationale 2: Two main laboratory tests to diagnose this are serum amylase and serum lipase that is elevated at least three times the normal limit.
Rationale 3: The serum amylase rises within 6–12 hours and remains elevated for 3–5 days.
Rationale 4: Necrotizing pancreatitis is not a complication of the disorder as it is seen in only about 20% of the individuals. Additional teaching would be required.
Rationale 5: The volume that is lost from the intravascular space into the interstitial space is significant and can result in hypovolemia and shock if it is not replaced quickly.
You might also like to view...
A long-term-care facility is considering implementing total patient care. Prior to implementing this system, what must be available?
1. Enough RN staff to provide all the care to the residents 2. A group of licensed assistants who are good at taking direction 3. A strong nurse manager 4. RNs willing to assume 24-hour accountability for the care provided to residents
The nurse is caring for a patient infected with methicillin-resistant 1 Staphylococcus aureus (MRSA). What's the major infection control measure to reduce MRSA and other nosocomial pathogens in a health care setting?
A) Using antibacterial soap when bathing patients with MRSA B) Conducting culture surveys periodically C) Ensuring that personnel wash their hands before and after contact with every patient D) Using specific housekeeping practices for environmental cleaning
When assessing for acute arterial occlusion, what would the nurse include? (Mark all that apply.)
A) Pain B) Paralysis C) Pallor D) Paresthesia E) Presence
Why has there been an increasing emphasis on caring for chronically ill children in their homes rather than in the hospital?
A. Hospitalized children are at risk for contracting a nosocomial infection and do not cope well with all the noise, light, and people. B. Insurance will not pay for children to stay in the hospital, but they will pay for home care. C. It is too dangerous to use unlicensed assistive personnel to staff pediatric units and too expensive to hire professional nurses. D. There are not enough expert pediatric nurses to staff additional pediatric units.