9/13/26, 5:27 AM Concepts: Cholecystitis and Pancreatitis Flashcards | Quizlet
A client is admitted with the diagnosis of acute pancreatitis. -Jaundice
Which clinical manifestations should a nurse assess in the
client? Select all that apply. -Acute pain
Jaundice -Increased amylase.
Acute pain
Rationale: Obstruction of the common bile duct by inflammation leads to jaundice.
Hypertension
Autodigestion of the pancreas causes severe abdominal pain.
Hypoglycemia
Obstruction of the pancreatic duct leads to elevated levels of amylase and lipase.
Increased amylase
-Hypotension, not hypertension, is caused by fluid shifting out of the intravascular
space.
-Decreased pancreatic function causes hyperglycemia, not hypoglycemia.
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,9/13/26, 5:27 AM Concepts: Cholecystitis and Pancreatitis Flashcards | Quizlet
A nurse in the postanesthesia care unit (PACU) is providing Reinforce the dressing.
care to a client who had an abdominal cholecystectomy
and observes serosanguineous drainage on the abdominal
dressing. What is the next nursing action? The nurse should anticipate drainage and reinforce the surgical dressing as needed.
Changing a dressing at this time is unnecessary and increases the risk for infection.
Change the dressing. Montgomery ties are used when frequent dressing changes are anticipated; they are
not appropriate at this time. An abdominal binder rarely is prescribed, and it will
Reinforce the dressing. interfere with assessment of the dressing at this time.
Replace the tape with Montgomery ties.
Support the incision with an abdominal binder.
Which clinical indicator should the nurse identify before Bilirubin level
scheduling a client for an endoscopic retrograde
cholangiopancreatography (ERCP)?
ERCP involves the insertion of a cannula into the pancreatic and common bile ducts
Urine output during an endoscopy. The test is not performed if the client's bilirubin level is more
than 3 to 5 mg/dL (51 to 85 mcmol/L) because cannulation may cause edema, which
Bilirubin level will increase obstruction of bile flow.
Blood pressure
Urine output, blood pressure, and serum glucose are not related directly to this test.
Serum glucose
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, 9/13/26, 5:27 AM Concepts: Cholecystitis and Pancreatitis Flashcards | Quizlet
A client is admitted to the hospital with Laënnec cirrhosis "They aid absorption of fat-soluble vitamins."
and chronic pancreatitis. Bile salts (bile acid factor) are
prescribed, and the client asks why they are needed. What Rationale: Bile salts are used to aid digestion of fats and absorption of the fat-soluble
is the nurse's best response? vitamins A, D, E, and K.
"They stimulate prothrombin production."
Bile salts are not involved in stimulating prothrombin production, in promoting
"They aid absorption of fat-soluble vitamins." bilirubin secretion in the urine, or in stimulating contraction of the common bile duct.
"They promote bilirubin secretion in the urine."
"They help the common bile duct contract stronger."
A client has cholelithiasis with possible obstruction of the To determine if deficient in vitamins A, D, and K
common bile duct. The nurse performs a nutritional
assessment. What is the primary goal for this assessment?
Bile promotes the absorption of the fat-soluble vitamins. An obstruction of the
common bile duct limits the flow of bile to the duodenum and thus the absorption of
these fat-soluble vitamins.
-Most clients have pain after eating a fatty meal and do not follow this diet, but this is
expected in cholelithiasis and is not the primary goal. Dietary fiber is not relevant to
the situation. Although adequate dietary protein is desirable for wound healing, it is
unrelated to cholelithiasis.
https://quizlet.com/605707908/concepts-cholecystitis-and-pancreatitis-flash-cards/?funnelUUID=fcde408c-b7ac-4077-b79b-30f26ebe9228 5/27
A client is admitted with the diagnosis of acute pancreatitis. -Jaundice
Which clinical manifestations should a nurse assess in the
client? Select all that apply. -Acute pain
Jaundice -Increased amylase.
Acute pain
Rationale: Obstruction of the common bile duct by inflammation leads to jaundice.
Hypertension
Autodigestion of the pancreas causes severe abdominal pain.
Hypoglycemia
Obstruction of the pancreatic duct leads to elevated levels of amylase and lipase.
Increased amylase
-Hypotension, not hypertension, is caused by fluid shifting out of the intravascular
space.
-Decreased pancreatic function causes hyperglycemia, not hypoglycemia.
https://quizlet.com/605707908/concepts-cholecystitis-and-pancreatitis-flash-cards/?funnelUUID=fcde408c-b7ac-4077-b79b-30f26ebe9228 3/27
,9/13/26, 5:27 AM Concepts: Cholecystitis and Pancreatitis Flashcards | Quizlet
A nurse in the postanesthesia care unit (PACU) is providing Reinforce the dressing.
care to a client who had an abdominal cholecystectomy
and observes serosanguineous drainage on the abdominal
dressing. What is the next nursing action? The nurse should anticipate drainage and reinforce the surgical dressing as needed.
Changing a dressing at this time is unnecessary and increases the risk for infection.
Change the dressing. Montgomery ties are used when frequent dressing changes are anticipated; they are
not appropriate at this time. An abdominal binder rarely is prescribed, and it will
Reinforce the dressing. interfere with assessment of the dressing at this time.
Replace the tape with Montgomery ties.
Support the incision with an abdominal binder.
Which clinical indicator should the nurse identify before Bilirubin level
scheduling a client for an endoscopic retrograde
cholangiopancreatography (ERCP)?
ERCP involves the insertion of a cannula into the pancreatic and common bile ducts
Urine output during an endoscopy. The test is not performed if the client's bilirubin level is more
than 3 to 5 mg/dL (51 to 85 mcmol/L) because cannulation may cause edema, which
Bilirubin level will increase obstruction of bile flow.
Blood pressure
Urine output, blood pressure, and serum glucose are not related directly to this test.
Serum glucose
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, 9/13/26, 5:27 AM Concepts: Cholecystitis and Pancreatitis Flashcards | Quizlet
A client is admitted to the hospital with Laënnec cirrhosis "They aid absorption of fat-soluble vitamins."
and chronic pancreatitis. Bile salts (bile acid factor) are
prescribed, and the client asks why they are needed. What Rationale: Bile salts are used to aid digestion of fats and absorption of the fat-soluble
is the nurse's best response? vitamins A, D, E, and K.
"They stimulate prothrombin production."
Bile salts are not involved in stimulating prothrombin production, in promoting
"They aid absorption of fat-soluble vitamins." bilirubin secretion in the urine, or in stimulating contraction of the common bile duct.
"They promote bilirubin secretion in the urine."
"They help the common bile duct contract stronger."
A client has cholelithiasis with possible obstruction of the To determine if deficient in vitamins A, D, and K
common bile duct. The nurse performs a nutritional
assessment. What is the primary goal for this assessment?
Bile promotes the absorption of the fat-soluble vitamins. An obstruction of the
common bile duct limits the flow of bile to the duodenum and thus the absorption of
these fat-soluble vitamins.
-Most clients have pain after eating a fatty meal and do not follow this diet, but this is
expected in cholelithiasis and is not the primary goal. Dietary fiber is not relevant to
the situation. Although adequate dietary protein is desirable for wound healing, it is
unrelated to cholelithiasis.
https://quizlet.com/605707908/concepts-cholecystitis-and-pancreatitis-flash-cards/?funnelUUID=fcde408c-b7ac-4077-b79b-30f26ebe9228 5/27
