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NSG 4100 ADULT HEALTH III Unit 2
Questions and Correct Answers/ Latest
Update / Already Graded
****ACUTE PANCREATITIS (FOCUS ON FOR EXAM) patho and cause
Ans: inflammatory process involving pancreas
mild to severe, rapidly fatal due to complications (necrosis
leading to shock)
common causes are biliary tract disease/cholelithiasis, and EtoH
patho :
pancreatic duct is obstructed
dx for pancreatitis
Ans: acute - pancreatic enzymes (serum) elevated
hepatic aminotransferases, alkaline phosphatase, bilirubin
dx for chronic pancreatitis
Ans: hx
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blood chemical analysis
gold standard for dx pancreatitis (acute or chronic)
Ans: CT scan
s/s of pancreatitis
Ans: Pain Acute Occurring 24-48 Hours After A Heavy Meal Or
ETOH
• Pain Is Difficult to Localize
• Decreased Peristalsis
• Patient Appears Acutely Ill
• Abdominal Guarding
Rigid/Board Like Abdomen
• Ecchymosis in Flank/Umbilicus
• Nausea/Vomiting
• Jaundice
• Mental Confusion
• Hypotension
• Tachycardia
• Cold/clammy skin
• Nursing Interventions and Assessment
All rights reserved © 2025/ 2026 |
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two hallmark s/s of pancreatitis
Ans: cullen's / turner's sign
Tx for pancreatitis
Ans: Preventing and managing acute attacks
• Relieve pain,
• Manage exocrine and endocrine insufficiency,
• Surgical management
• Nursing:
• Maintain NPO: inhibit stimulation of enzyme release
• May have enteral or parenteral nutrition, but will be NPO
• Opioid Pain meds but no Demerol: accumulation of
metabolites cause seizures
• Bedrest (usually semi-fowlers to decrease pressure on the
diaphragm): decrease secretion of pancreatic and gastric
enzymes
• NG: suction to relieve N/V
• IV fluid and electrolytes
• Assess respiratory status: diaphragm elevated, atelectasis;
put in semi fowler
All rights reserved © 2025/ 2026 |
NSG 4100 ADULT HEALTH III Unit 2
Questions and Correct Answers/ Latest
Update / Already Graded
****ACUTE PANCREATITIS (FOCUS ON FOR EXAM) patho and cause
Ans: inflammatory process involving pancreas
mild to severe, rapidly fatal due to complications (necrosis
leading to shock)
common causes are biliary tract disease/cholelithiasis, and EtoH
patho :
pancreatic duct is obstructed
dx for pancreatitis
Ans: acute - pancreatic enzymes (serum) elevated
hepatic aminotransferases, alkaline phosphatase, bilirubin
dx for chronic pancreatitis
Ans: hx
All rights reserved © 2025/ 2026 |
, Page |2
blood chemical analysis
gold standard for dx pancreatitis (acute or chronic)
Ans: CT scan
s/s of pancreatitis
Ans: Pain Acute Occurring 24-48 Hours After A Heavy Meal Or
ETOH
• Pain Is Difficult to Localize
• Decreased Peristalsis
• Patient Appears Acutely Ill
• Abdominal Guarding
Rigid/Board Like Abdomen
• Ecchymosis in Flank/Umbilicus
• Nausea/Vomiting
• Jaundice
• Mental Confusion
• Hypotension
• Tachycardia
• Cold/clammy skin
• Nursing Interventions and Assessment
All rights reserved © 2025/ 2026 |
, Page |3
two hallmark s/s of pancreatitis
Ans: cullen's / turner's sign
Tx for pancreatitis
Ans: Preventing and managing acute attacks
• Relieve pain,
• Manage exocrine and endocrine insufficiency,
• Surgical management
• Nursing:
• Maintain NPO: inhibit stimulation of enzyme release
• May have enteral or parenteral nutrition, but will be NPO
• Opioid Pain meds but no Demerol: accumulation of
metabolites cause seizures
• Bedrest (usually semi-fowlers to decrease pressure on the
diaphragm): decrease secretion of pancreatic and gastric
enzymes
• NG: suction to relieve N/V
• IV fluid and electrolytes
• Assess respiratory status: diaphragm elevated, atelectasis;
put in semi fowler
All rights reserved © 2025/ 2026 |
