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COMPLEX MED SURG EXAM 1 .A MED TEST WITH ALL ANSWERS RATED A +
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COMPLEX MED SURG EXAM 1 .A MED TEST WITH ALL ANSWERS RATED A +
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COMPLEX MED SURGEXAM 1 .A MED TEST
WITH ALL ANSWERS
RATED A +
What is the sum total of the endocrine function of the pancreas? - correct answer-
Releases digestive enzymes
Sodium Bicarbonate - correct answer-Neutralizes the chyme in the duodenum due to
high levels of this substance
Lipase - correct answer-Aids in the digestion of fats
Glucagon - correct answer-Secreted whenever serum glucose levels are low;
converts glycogen to glucose
Amylase - correct answer-Aids in the digestion of carbohydrates
Insulin - correct answer-Moves glucose from the blood into various cells in the body;
Decreases serum glucose levels
Trypsin - correct answer-Aids in the digestion of proteins
, What are 80% of all ACUTE pancreatitis cases caused by? - correct answer-Alcohol
consumption and cholelithiasis
What is the pathophysiology of ACUTE pancreatitis? - correct answer-The
pancreatic enzymes are activated while in the pancreatic duct and digest the
pancreas
Interstital Edematous - correct answer--Edema and inflammation of pancreas
-Returns to normal functioning in 6 months
-Mild and self limiting
-Minimal dysfunction of the pancreas
-Can result in hypovolemic shock, fluid and electrolyte imbalances, and sepsis
Necrotizing Pancreatitis - correct answer--Organ failure can occur accompanied by
GI bleeding, kidney disease, and hypoxia
-Damage occurs to local blood vessels along with bleeding and thrombosis
-Severe and rapidly fatal
-Pancreas tissue and cells are killed
Symptoms of ACUTE pancreatitis - correct answer--nausea and vomiting
-ecchymosis around the flank and umbilicus
- fever and mental confusion
-abdominal pain
Labs correlated with ACUTE pancreatitis - correct answer-Serum calcium levels less
than 8.5 and Elevated serum amylase and lipase within 24 hours
ORDERS for a patient with ACUTE pancreatitis - correct answer--NPO
-Antiemetic agents
-CBC and CMP
-Parental opioids
-infusion of IV fluids
Diet for acute pancreatitis when feeling better - correct answer--Pasta salad with
vegetables and water
What assessments can a nurse conduct that would be early warning signs of shock,
hypovolemia, or hemorrhage? List at least 3 factors the nurse could assess that
would be early warning signs of these complications. - correct answer-1. Cyanosis 2.
Cold, clammy skin 3. Respiratory distress 4. Fever 5. Monitor Intake and Output
CHRONIC pancreatitis symptoms - correct answer--n/v
-frequent, frothy, foul smelling stools
-weight loss
-recurring severe abdominal and back pain
Management of CHRONIC pancreatitis - correct answer--no alcohol or smoking
-encourage use of pancreatic replacement enzymes to help digest fats
-use non-opioid pain relievers and non-pharmacological methods first
-treat diabetes with diet and insulin
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