FREE NURSING AND STUDY GAMES ABOUT PANCREATITIS

PDF Download

FREE NURSING AND STUDY GAMES ABOUT PANCREATITIS

C & A EXAM QUESTIONS Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -64 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation

Question 1: Serum elastase

Answer:

Increased

Question 2: NHP (necrotizing hemorrhagic pancreatitis)

Answer:

diffuse bleeding of pancreatic tissue, fibrosis, tissue death

Question 3: Assessment

Answer:

Continuous & burning/gnawing severe ABD px; ABD tenderness; Ascites; LUQ mass (w/ pseudocyst); Respiratory compromise (diminished, orthopnea, dyspnea); Steatorrhea; Weightloss

Question 4: Chronic Pancreatitis

Answer:

Chronic Pancreatitis

Question 5: Cullen's sign

Answer:

Periumbilical bruising

Question 6: Patient teaching

Answer:

abstain from alcohol; If alcohol is consumed, autodigestion will result in chronic pancreatitis & chronic pain; Notify HCP of acute ABD px, jaundice, clay-colored stools, darkened urine

Question 7: Pancrelipase (Interventions/Pt Education)

Answer:

Take before/with meals/snacks; mix w/ applesauce/fruit juice at pt request; Wipe lips after taking; Do not mix w/ protein containing foods; Do not inhale

Question 8: Early activation

Answer:

Enzyme activation of pancreatic enzymes in the pancreas; Results in inflammatory process

Question 9: CCP (chronic calcifying pancreatitis

Answer:

Protein plug -> ductal obstruction, atrophy, dilation

Question 10: Acute pancreatitis diet

Answer:

NPO; If NPO >7-10 days requires TPN/TEN

Question 11: Endocrine function

Answer:

decrease -> frank DM

Question 12: Pseudocystogastrostomy

Answer:

draining pseudocyst into stomach

Question 13: Pt Preventative teaching

Answer:

Avoid things that cause symptoms; No alcohol, nicotine; Rest frequently

Question 14: CT w/ contrast

Answer:

Dx of pancreatitis; R/O pancreatic pseudocyst or ductal calculi

Question 15: Non-surgical management

Answer:

NPO, meds, comfort measures

Question 16: ALT (alanine aminotransferase)

Answer:

increased (3x normal is dx of biliary pancreatitis)

Question 17: Pancrelipase (Indication)

Answer:

chronic pancreatitis (aid in digestion/absorption of fat & protein)

Question 18: History

Answer:

increased pain after alcohol/food ingestion, alcohol usage

Question 19: Leukocytes

Answer:

increased (inflammatory response)

Question 20: Serum Ca

Answer:

decreased (fat necrosis); consistently < 8 associated w/ poor prognosis

Question 21: Pseydocystojejunostomy

Answer:

draining pseudocyst into jejunum

Question 22: Serum amylase

Answer:

increased

Question 23: Bilirubin

Answer:

elevated (w/ biliary dysfunction)

Question 24: Chronic obstructive pancreatitis

Answer:

Inflammation, spasm, obstruction of Oddi -> obstruction & backflow of pancreatic enzymes

Question 25: Causes

Answer:

Trauma (external/operative), pancreatic obstruction, renal disturbance, s/p ERCP

Question 26: Antibiotics

Answer:

Indicated for acute necrotizing pancreatis

Question 27: Recovery diet

Answer:

Moderate-high carbohydrates, high-protein, low-fat meals (small & frequent); Bland, caffeine-free, alcohol-free

Question 28: Family Hx

Answer:

alcoholism, pacreatitis, biliary tract disease, previous ABD surgery