ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 59 : Care of Patients with Problems of the Biliary System and Pancreas Questions
Question 1 of 5
A nurse assesses a client with cholelithiasis. Which assessment findings should the nurse identify as risk factors for this condition? (Select all that apply.)
Correct Answer: A,D,E
Rationale: Obesity, pregnancy, and diabetes (often associated with metabolic syndrome) are risk factors for the development of cholelithiasis. A vegetarian diet low in saturated fats and moderate alcohol intake may decrease the risk.
Question 2 of 5
A nurse cares for a client who presents with tachycardia and prostration related to biliary colic. Which actions should the nurse take? (Select all that apply.)
Correct Answer: A,B
Rationale: Clients who are experiencing biliary colic may present with tachycardia, pallor, diaphoresis, prostration, or other signs of shock. The nurse should stay with the client, lower the client's head, and contact the provider or Rapid Response Team for immediate assistance. Decreasing fluids or administering opioids could worsen the client's condition.
Question 3 of 5
A nurse plans care for a client who has acute pancreatitis and is prescribed nothing by mouth (NPO). With which health care team members should the nurse collaborate to provide appropriate nutrition to the client? (Select all that apply.)
Correct Answer: A,C,E
Rationale: Clients who are prescribed NPO while experiencing an acute pancreatitis episode may need enteral or parenteral nutrition. The nurse should collaborate with the registered dietitian, clinical pharmacist, and health care provider to determine the best nutritional intervention. The nursing assistant and certified herbalist would not assist with this clinical decision.
Question 4 of 5
A nurse collaborates with an unlicensed assistive personnel (UAP) to provide care for a client who is in the healing phase of acute pancreatitis. Which statements focused on nutritional requirements should the nurse include when delegating care for this client? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: During the healing phase of pancreatitis, the client should be provided small, frequent, moderate- to high-carbohydrate, high-protein, low-fat meals. Protein shakes can be provided to supplement the diet. Foods and beverages should not contain caffeine and should be bland.
Question 5 of 5
A nurse cares for a client with pancreatic cancer who is prescribed implanted radioactive iodine seeds. Which actions should the nurse take when caring for this client? (Select all that apply.)
Correct Answer: B,C,D
Rationale: The client should be placed in a private room, and dirty linens kept in the client's room until the radiation source is removed. The nurse should wear a lead apron while providing care, ensuring the apron always faces the client. Bundling care minimizes exposure to radiation. Transmission-Based Precautions are not necessary for implanted radioactive iodine seeds.