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8. Discuss three dietary teaching points for a patient recovering from Pancreatitis.
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- 10. A 68-year-old woman comes to the physician for a follow-up examination after a routine endoscopy for dyspepsia showed large esophageal varices. She has a 25-year history of type 2 diabetes mellitus. She also has hypertension and hyperlipidemia. She does not have any history of liver disease, blood transfusions, or intravenous drug use, and she does not drink alcohol. Her current medications are 81-mg aspirin, insulin, lisinopril, and simvastatin. She appears alert. She is 168 cm (5 ft 6 in) tall and weighs 110 kg (242 lb); BMI is 39 kg/m². Physical examination shows scattered spider angiomata over the chest and upper extremities. Abdominal examination shows no ascites. The spleen tip is palpated 4 cm below the left costal margin. Laboratory studies show. Hemoglobin Hematocrit Mean corpuscular volume Platelet count 12.2 g/dL 36% 102 μm³ 92,000/mm³ 1.8 mg/dL Serum Total bilirubin AST 65 U/L ALT 85 U/L Ferritin 62 ng/mL Hepatitis B surface antigen negative Hepatitis B surface antibody…7. Describe the primary pathogenesis, symptoms, and potential side effects of acute pancreatitis.2. A patient in a nursing home complains to her nurse that she is not feeling well. When asked to describe how she feels, the patient states that she really is not hungry anymore and seems to have indigestion a lot. The nurse checks the patient’s chart and finds that her vital signs are normal, but that she has lost weight over the past 2 months. She also notes that there is a history of gastric cancer in the patient’s family. The nurse notifies that physician and expects to receive what orders? Schedule a barium x-ray and an endoscopy Perform a pap smear on the patient’s gastric secretions Order cytologic studies to be done during the endoscopy Schedule a lower gastrointestinal study A & C
- 1. Which markers should be evaluated in the diagnosis of exocrine pancreatic insufficiency? Briefly explain the reasons.2 Which is not a sign of severe acute pancreatitis? A Total abdominal tenderness B Courvoisier's.sign C Cullen's sign D Grey Turner's sign E Shifting duliness positive4. Discuss postoperative ileus including definition, risk factors, clinical manifestations, and prevention/treatment interventions. Definition – Risk Factors – Clinical Manifestations- Interventions-
- 2. Description about jaundice. In nursing ? Don't copyCASE STUDY Acute Pancreatitis Patient Profile V.A. is a 55-year-old man admitted to the hospital with acute pancreatitis. Subjective Data • Has severe abdominal pain in the LUQ radiating to the back • States that he is nauseated and has been vomiting Objective Data Physical Examination • Vital signs: Temp 101°F (38.3°C), HR 114 bpm, RR 26, BP 92/58 • Jaundice noted in sclera Laboratory Tests • Serum amylase: 400 U/L (6.67 mkat/L) • Serum lipase: 600 U/L . Urinary amylase: 3800 U/day • WBC count: 20,000/μL Blood glucose: 180 mg/dL (10 mmol/L) • Serum calcium: 7 mg/dL (1.7 mmol/L) Collaborative Care • NPO status • NG tube to low, intermittent suction • IV therapy with lactated Ringer's solution Morphine PCA Pantoprazole (Protonix) IV .1. Which of the following measures should the client with diverticulitis be taught to integrate into his daily routine at home? a.Using enemas to relieve constipation. b.Decreasing fluid intake to increase the formed consistency of the stool. c.Eating a high fiber diet when symptomatic with diverticulitis. d.Refraining from straining and lifting activities 2. A patient with diverticulitis can be surgically managed with which of the following surgical procedures? a.Whipple’s procedure b.Hartman’s procedure c.Abdominal perineal resection d.Vertical Sleeve gastrectomy 3. A client is learning about caring for her ileostomy. Which of the following statements would indicate that she understands how to care for her ileostomy pouch? a.“I can take my pouch off at night.” b.I’ll empty my pouch when it’s about one – third full.” c.“I must apply a new pouch system every day.” d.“I should change my pouch immediately after lunch.”
- 6. The nurse is aware that the most common assessment finding in a child with ulcerative colitis is: A Intense abdominal cramps B. Profuse diarrhea C. Anal fissures D. Abdominal distentionIdentify the side effects and special considerations associated with gastrointestinal system drug therapy2. A 9-month-old child presents to the emergency room with a volvulus and required operative resection of the colon. The child lost a large percentage of the bowel and now has short gut syndrome. a. What vitamins and mineral deficiencies is this child most at risk for? What are the clinical manifestations you would see from these deficiencies?