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Pancreatitis

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Pancreatitis
Assessment

The nurse is completing Jared's emergency center admission assessment.

1.
To support the admitting diagnosis of acute pancreatitis, which question should the nurse ask Jared?
A) "Do you currently, or have you ever, smoked cigarettes?"
Feedback: INCORRECT
Cigarette smoking does not cause an acute exacerbation of pancreatitis.

B) "How often do you drink alcohol, and when was your last drink?"
Feedback: CORRECT
Long-term use of alcohol is commonly associated with the development of chronic pancreatitis, and alcohol ingestion is the primary cause of an acute exacerbation of pancreatitis.

C) "What medications have you taken in the last 24 hours?"
Feedback: INCORRECT
Corticosteroid use, thiazide diuretics, and oral contraceptives are associated with an increased incidence of developing chronic pancreatitis, but taking one dose of medication in the last 24 hours would not cause an acute exacerbation of pancreatitis.

D) "Have you had any weight loss or gain in the last six months?"
Feedback: INCORRECT
Weight loss is a major problem in chronic pancreatitis, but it is not a significant factor in the onset of an acute exacerbation.

Jared shares with the nurse that he has been drinking alcohol every day for the last few years and that he drank a little more than usual last night at a poker party at a friend's house. He also tells the nurse that he has smoked two packs of cigarettes a day for the last 20 years.

To further evaluate Jared's condition, the healthcare provider (HCP) prescribes several laboratory tests.

Points Earned:
1.0/1.0

Correct Answer(s):
B

2.
Which laboratory data indicates that Jared is experiencing acute pancreatitis?
A) Hemoglobin (Hgb) 12.9 g/dl and hematocrit (HCT) 42%.
Feedback: INCORRECT
The hemoglobin and hematocrit are monitored to assess for bleeding, but they not are used to diagnose pancreatitis.

B) White blood cell count of 10,000/mm3.
Feedback: INCORRECT
The WBC count may be elevated in clients with

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