NUR 265 UPDATED EVALUATION EXAM 2026
QUESTIONS AND ANSWERS SURE A+
✔✔Describe a paracentesis. - ✔✔-A procedure that is needed to get rid of the fluid in
the abdomen
-Have the pt. void before the procedure (ensures the bladder is out of the way and wont
get punctured)
-Patient is positioned in fowlers position in bed
✔✔What are the treatments for cirrhosis? - ✔✔Transplant is the only cure!
✔✔Describe the diet for a patient with cirrhosis. - ✔✔-Small frequent meals
-High carbs
-High protein
-Moderate fats
-Moderate vitamins
✔✔What medications are given to patients with cirrhosis? - ✔✔-Diuretics
-PPI or H blockers
-Broad spectrum antibiotics
-FFP-coags
-Platelets thrombocytopenia
, ✔✔Describe acute pancreatitis. - ✔✔A serious and at times life threatening
inflammation of the pancreas. It is caused by premature ativation of excessive
pancreatic enzymes that destroy tissues and pancreatic cells (basically the pancreas
starts digesting itself)
✔✔What are causes of acute pancreatitis? - ✔✔-Choleylithiasis
-Trauma to pancreas
-Chronic ETOH consumption
-Toxic drugs
✔✔What are signs and symptoms of acute pancreatitis? - ✔✔-Middle epigastric/left
upper quadrant
-Boring pain that doesn't radiate, but rather goes through their body
-Sudden onset
-Radiates to back, left shoulder, and flank area
-Jaundice- due to bilirubin increase
-Nausea and vomiting
✔✔How is acute pancreatits diagnosed? - ✔✔-Cat scan first
-#1 diagnostic is amylase and lipase labs
✔✔Describe the physical assessment of a patient with acute pancreatitis - ✔✔-
*Jaundice skin: due to bile duct obstruction*
-*Gray-blue skin on abdomen/flank areas* (2 essential assessments- call PHCP)
-Guarding and rigidity
-Ascites
-Fetal position
-Palpable mass
✔✔How is acute pancreatitis treated? - ✔✔-Rest the gut: insert an NG tube
-Opioids for pain management
✔✔Describe chronic pancreatitis. - ✔✔Progressive,destructive disease of the pancreas
that has remissions and exacerbation. Pain is not described as "boring" pain
✔✔What are the signs and symptoms of chronic pancreatitis? - ✔✔-LUQ pain
(described as burning and gnawing)
-Muscle wasting
-Unexplained weight loss
-3 P's of diabetes (due to lack of insulin production)
-Steatorrhea
-Fatigue
✔✔What needs to be taught about enzyme replacement? - ✔✔-Take enzymes with
meals and snacks and follow with a glass of water
QUESTIONS AND ANSWERS SURE A+
✔✔Describe a paracentesis. - ✔✔-A procedure that is needed to get rid of the fluid in
the abdomen
-Have the pt. void before the procedure (ensures the bladder is out of the way and wont
get punctured)
-Patient is positioned in fowlers position in bed
✔✔What are the treatments for cirrhosis? - ✔✔Transplant is the only cure!
✔✔Describe the diet for a patient with cirrhosis. - ✔✔-Small frequent meals
-High carbs
-High protein
-Moderate fats
-Moderate vitamins
✔✔What medications are given to patients with cirrhosis? - ✔✔-Diuretics
-PPI or H blockers
-Broad spectrum antibiotics
-FFP-coags
-Platelets thrombocytopenia
, ✔✔Describe acute pancreatitis. - ✔✔A serious and at times life threatening
inflammation of the pancreas. It is caused by premature ativation of excessive
pancreatic enzymes that destroy tissues and pancreatic cells (basically the pancreas
starts digesting itself)
✔✔What are causes of acute pancreatitis? - ✔✔-Choleylithiasis
-Trauma to pancreas
-Chronic ETOH consumption
-Toxic drugs
✔✔What are signs and symptoms of acute pancreatitis? - ✔✔-Middle epigastric/left
upper quadrant
-Boring pain that doesn't radiate, but rather goes through their body
-Sudden onset
-Radiates to back, left shoulder, and flank area
-Jaundice- due to bilirubin increase
-Nausea and vomiting
✔✔How is acute pancreatits diagnosed? - ✔✔-Cat scan first
-#1 diagnostic is amylase and lipase labs
✔✔Describe the physical assessment of a patient with acute pancreatitis - ✔✔-
*Jaundice skin: due to bile duct obstruction*
-*Gray-blue skin on abdomen/flank areas* (2 essential assessments- call PHCP)
-Guarding and rigidity
-Ascites
-Fetal position
-Palpable mass
✔✔How is acute pancreatitis treated? - ✔✔-Rest the gut: insert an NG tube
-Opioids for pain management
✔✔Describe chronic pancreatitis. - ✔✔Progressive,destructive disease of the pancreas
that has remissions and exacerbation. Pain is not described as "boring" pain
✔✔What are the signs and symptoms of chronic pancreatitis? - ✔✔-LUQ pain
(described as burning and gnawing)
-Muscle wasting
-Unexplained weight loss
-3 P's of diabetes (due to lack of insulin production)
-Steatorrhea
-Fatigue
✔✔What needs to be taught about enzyme replacement? - ✔✔-Take enzymes with
meals and snacks and follow with a glass of water
