Chapter 59: Care of Patients with Problems of the Biliary System and Pancreas Ignatavicius: Medical-Surgical Nursing, 8th Edition.
Chapter 59: Care of Patients with Problems of the Biliary System and Pancreas Ignatavicius: Medical-Surgical Nursing, 8th Edition.
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1. A nurse cares for a client who has obstructive jaundice. The client asks, “Why is my skin so itchy?” How should the nurse respond?
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“Bile salts accumulate in the skin and cause the itching.”
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“Toxins released from an inflamed gallbladder lead to itching.”
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“Itching is caused by the release of calcium into the skin.”
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“Itching is caused by a hypersensitivity reaction.”
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2. After teaching a client who is recovering from laparoscopic cholecystectomy surgery, the nurse assesses the client’s understanding. Which statement made by the client indicates a correct understanding of the teaching?
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“Drinking at least 2 liters of water each day is suggested.”
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“I will decrease the amount of fatty foods in my diet.”
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“Drinking fluids with my meals will increase bloating.”
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“I will avoid concentrated sweets and simple carbohydrates.”
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3. A nurse cares for a client who is recovering from laparoscopic cholecystectomy surgery. The client reports pain in the shoulder blades. How should the nurse respond?
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“Ambulating in the hallway twice a day will help.”
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“I will apply a cold compress to the painful area on your back.”
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“Drinking a warm beverage can relieve this referred pain.”
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“You should cough and deep breathe every hour.”
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4. After teaching a client who has a history of cholelithiasis, the nurse assesses the client’s understanding. Which menu selection made by the client indicates the client clearly understands the dietary teaching?
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Lasagna, tossed salad with Italian dressing, and low-fat milk
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Grilled cheese sandwich, tomato soup, and coffee with cream
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Cream of potato soup, Caesar salad with chicken, and a diet cola
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Roasted chicken breast, baked potato with chives, and orange juice
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5. A nurse plans care for a client with acute pancreatitis. Which intervention should the nurse include in this client’s plan of care to reduce discomfort?
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Administer morphine sulfate intravenously every 4 hours as needed.
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Maintain nothing by mouth (NPO) and administer intravenous fluids.
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Provide small, frequent feedings with no concentrated sweets.
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Place the client in semi-Fowler’s position with the head of bed elevated.
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6. After teaching a client who is prescribed pancreatic enzyme replacement therapy, the nurse assesses the client’s understanding. Which statement made by the client indicates a need for additional teaching?
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“The capsules can be opened and the powder sprinkled on applesauce if needed.”
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“I will wipe my lips carefully after I drink the enzyme preparation.”
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“The best time to take the enzymes is immediately after I have a meal or a snack.”
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“I will not mix the enzyme powder with food or liquids that contain protein.”
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7. A nurse assesses a client who is recovering from an open Whipple procedure. Which action should the nurse perform first?
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Assess the client’s endotracheal tube with 40% FiO2.
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Insert an indwelling Foley catheter to gravity drainage.
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Place the client’s nasogastric tube to low intermittent suction.
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Start lactated Ringer’s solution through an intravenous catheter.
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1. A nurse cares for a client who has obstructive jaundice. The client asks, “Why is my skin so itchy?” How should the nurse respond?
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