1) Which factor is most commonly associated with the development of pancreatitis?
a. Alcohol abuse
b. Hypercalcemia
c. Hyperlipidemia
d. Pancreatic duct obstruction
2) Which action of pancreatic enzymes can cause pancreatic damage?
a. Utilization by the intestine
b. Auto digestion of the pancreas
c. Reflux into the pancreas
d. Clogging of the pancreatic duct
3) Which laboratory test is used to diagnose pancreatitis?
a. Amylase level
b. Hemoglobin level
c. Blood glucose level
d. White blood cell count
4) A client with pancreatitis may exhibit Cullen’s sign on physical examination. Which symptom can best describe Cullen’s sign?
a. Jaundiced sclera
b. Pain that occurs with movement
c. Bluish discoloration of the left flank area
d. Bluish discoloration of the periumbilical area
5) Which factor should be the initial focus of nursing management in a client with acute pancreatitis?
a. Dietary management
b. Prevention of skin breakdown
c. Management of hypoglycemia
d. Pain control
6) When admitting a client to the hospital with suspected acute pancreatitis, which electrolyte disorder would be expected?
a. Hypoglycemia
b. Hypernatremia
c. Hypocalcemia
d. Hyperkalemia
7) If a gastric ulcer perforates, which action should be included in the management of the client?
a. Removal of the nasogastric tube
b. Antacid administration
c. H2-receptor antagonist administration
d. Fluid and electrolyte replacement
8) A client presents to the ER with abdominal pain, weight loss, steatorrhea, and a random glucose of 417 mg/dl. The nurse should expect which diagnostic test to be ordered?
a. Upper GI series
b. Lower GI series
c. Ultrasound of the abdomen
d. Colonoscopy
9) In alcohol-related pancreatitis, which intervention is the best way to reduce the exacerbation of pain?
a. Lying in a supine position
b. Taking aspirin
c. Eating a low-fat diet
d. Abstaining from alcohol
10) A client is diagnosed with