Nursing > Pancreatitis > Flashcards

Pancreatitis Flashcards

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1
Q

Which pancreatic enzyme is:
-A protein

A. Amylase
B. Lipase
C. Proteolytic enzymes

A

C

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2
Q

Which pancreatic enzyme is:
-A starch

A. Amylase
B. Lipase
C. Proteolytic enzymes

A

A

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3
Q

Which pancreatic enzyme is:
-A fat

A. Amylase
B. Lipase
C. Proteolytic enzymes

A

B

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4
Q

What is the pathophysiology of pancreatitis?

A. Inflammation of the pancreas, leading to malnutrition
B. Infection within the pancreas that leads to severe N/V
C. Inflammation of the pancreas from elevated pancreatic enzymes that begin to digest the organ
D. Obstruction of the common bile duct causes inflammation and severe pain

A

C

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5
Q

What manifestations would lead the nurse to believe the pt is experiencing mild, acute pancreatitis? (select all)

A. Necrotic tissue
B. Edema of pancreatic tissue
C. Single or multiple organ failure that does not resolve in 48hrs
D. Inflammation of pancreatic tissue

A

B
D

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6
Q

What manifestations would lead the nurse to believe the pt is experiencing severe, acute pancreatitis? (select all)

A. Necrotic tissue
B. Edema of pancreatic tissue
C. Single or multiple organ failure that does not resolve in 48hrs
D. Inflammation of pancreatic tissue

A

A
C

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7
Q

Put these in order of how drinking alcohol leads to pancreatitis:

A. Erosion & destruction of ducts
B. Protein plugs develop in the small ducts
C. Autodigestion of the pancreas
D. Increase in viscosity
E. Plugs turn into calculi causing progressive inflammation and fibrosis
F. Pancreatic enzymes leak into the pancreatic tissue

A

D
B
E
A
F
C

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8
Q

Put these in order of how drinking alcohol leads to pancreatitis:

A. Obstruction of the flow of the pancreatic enzymes
B. Inflammation of the lining of the duodenum
C. Autodigestion of the pancreas
D. Buildup of pancreatic enzymes within the pancreas
E. Obstruction of the pancreatic duct

A

B
E
A
D
C

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9
Q

What are a few causes of pancreatitis? (select all)

A. Scorpion sting
B. High fat, calcium diet
C. No genetic cause
D. Steroids
E. Mumps
F. Untreated ulcerative colitis
G. Penetrating trauma

A

A
B
D
E
G

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10
Q

What are typical presentations for a pt with suspected acute pancreatitis? (select all)

A. 10/10 lower abdominal pain
B. Pain radiates always
C. Hx of cirrhosis from alcohol abuse
D. 10/10 epigastric/abdominal pain
E. Hx of gallstones

A

C
D
E

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11
Q

The pt complains of severe, epigastric abdominal pain
The nurse reviews labs from the morning and amylase & lipase are WNL
Can this pt be diagnosed with pancreatitis?

A. Yes
B. No

A

B

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12
Q

The nurse is taking care of 4 pt’s. Which 2 pt’s can be diagnosed with pancreatitis?

A. Pt with positive markers on CT
B. Serum amylase & lipase are 3x the upper limit of normal
C. 10/10 abd. pain & tripled serum amylase & lipase values
D. Elevated WBC, HCT, BUN and 10/10 abdominal pain

A

C
D

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13
Q

What diet is recommended for pt’s with acute pancreatitis?

A. Low fat, low sodium
B. High potassium, low fat
C. NPO
D. Clear liquid, bland

A

C

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14
Q

What can the nurse delegate to the UAP for the pt with pancreatitis?

A. Antithrombotic stockings
B. Adjust the flow rate of TPN
C. Insert an NG tube
D. Monitor I&O

A

D

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15
Q

What treatment options are available to pancreatitis pts? (select all)

A. Colonoscopy
B. Antibiotics/pain meds
C. ERCP w/ stone removal
D. Removal of pancreas
E. Pseudocyst drain

A

B
C
E

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16
Q

What causes death from acute pancreatitis within the first 3-7 days? (select all)

A. Sepsis
B. Heart, lungs, or kidney failure
C. Overall system inflammation
D. Bleeding or ruptured pseudocyst

17
Q

What causes death from acute pancreatitis after the first week? (select all)

A. Sepsis
B. Heart, lungs, or kidney failure
C. Overall system inflammation
D. Bleeding or ruptured pseudocyst

18
Q

What results from permanent structural damage from chronic pancreatitis? (select all)

A. Perforation
B. Fibrosis
C. Ductal strictures
D. Hemorrhage

19
Q

True or False? (chronic pancreatitis)
-The damage to the exocrine and endocrine pancreatic function can be reversed with treatment over time

A. True
B. False

20
Q

Where would a pt with pancreatitis experience pain from an acute attack?

A. LLQ pain radiating to the flank
B. Severe epigastric pain radiating to the back
C. URQ pain
D. UR & UL Q pain radiating up to the neck

21
Q

What would you expect the vitals to do in acute pancreatitis? (select all)

A. Hyperactive bowel sounds
B. Hypotension
C. Tachycardia
D. Hypoactive bowel sounds
E. Hypertension
F. Bradycardia

22
Q

Your pt is admitted to the ED after eating a fatty meal with alcohol. Upon assessment, you see:
-Cold, clammy skin with fever
-Periumbilical ecchymosis
-Mild jaundice

A. Chronic pancreatitis
B. Acute pancreatitis

23
Q

Which sign presents with:
-Periumbilical ecchymosis

A. Grey turner sign
B. Cullen sign

24
Q

Which sign presents with:
-Bruising of the flanks

A. Grey turner sign
B. Cullen sign

25
What local complications can arise from acute pancreatitis? (select all) A. Abscess/pseudocyst B. Hepatoxicity C. Necrosis of pancreatic tissue D. Shock E. Infection within pancreas
A C E
26
What systemic complications can arise from acute pancreatitis? (select all) A. Hepatoxicity B. Sepsis C. C-Diff D. Shock E. Increased BUN & creatinine
B D E
27
What causes systemic complications from chronic pancreatitis? A. Renal failure- fluid overload - hypovolemia B. Autodigestion - ascites - renal failure C. Hypovolemia - renal failure - autodigestion
B
28
Where does pain manifest in pt's with chronic pancreatitis? (select all) A. RUQ B. Radiation to the back C. Epigastric D. LUQ E. Entire stomach
B C D
29
What position does the nurse know alleviates pain from chronic pancreatitis? A. Semi-fowlers - high fowlers B. Supine on the L side C. Sitting up or leaning forward D. Prone
C
30
What s/s lead to the nurse to believe her pt has chronic pancreatitis? (select all) A. Anorexia/weight loss B. Pain relieved by eating C. Steatorrhea D. Abd. distention & tenderness E. Diarrhea F. Increased pain after eating
A C D F
31
What statements by the pt shows understanding about the complications of chronic pancreatitis? (select all) A. I am at an increased risk for diabetes and pancreatic cancer B. I should eat a low fat diet to reduce weight gain C. I may become dependent on opiates D. I will have to learn to live with the pain
A C D
32
What diet may be recommended for pt's with chronic pancreatitis? A. High calorie, high fat B. Small, frequent high calorie meals C. Low potassium, 3 regular meals D. 4-5 low fat meals a day
D
33
When may parts of the pancreas be removed? A. When it becomes necrotic B. Obstruction from a stone C. Duct cannot be dilated D. Pseudocyst develops
C
34
What allergy would cause the nurse to question giving pancreatic enzyme replacements? A. Egg B. Peanut C. Pork D. Latex
C
35
Which statement by the pt shows understanding on their new med: Pancrelipase ( pancreatic enzyme replacement) A. I should not take antacids with this B. I should get regular blood tests C. I can take this regardless of meals D. I should check my stool for discoloration
D
36
When can the pt with acute pancreatitis resume PO intake? (select all) A. Lipase returns to normal B. Bowel sounds present C. Amylase returns to normal D. Abdominal pain resolves
B C D
37
What statement by the pt shows a need for further teaching? A. I need to eat a low fat, high protein diet B. I should eat lots of fruits, vegetables, and whole grains C. Smoking and drinking will not affect my diagnosis D. I should be NPO during exacerbations
C
38
What foods should the nurse recommend her pt eat? (select all) A. Sweet potatoes B. Salmon C. Skinless chicken breast D. Flour tortillas E. Cranberry juice F. Brown rice
A C E F
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