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Chapter 54 Concepts of Care for Patients With Problems of the Biliary System and Pancreas

At 10:00 PM, Mr. Ponopolous presents to the ED stating he feels “miserable from overeating.” His wife states that they had a large holiday dinner around 4:00 PM, and spent the evening with family members, drinking and continuing to eat. The nurse asks Mr. Ponopolous what he ate, and he states that since 4:00 PM, he has consumed several alcoholic beverages, two servings of pork sausage, cranberry salad, sweet potatoes with butter and cinnamon, a tossed salad with a light vinaigrette dressing, and two pieces of white chocolate cake with frosting. Mr. Ponopolous says that he had pancreatitis once before in his life, and that “this miserable feeling” is the same.

Question 1

Which foods consumed by Mr. Ponopolous does the nurse identify as high in fat?

 

Question 2

After taking a history, the nurse completes a physical assessment on Mr. Ponopolous. When assessing his abdomen, which assessment findings should the nurse identify as remarkable?

Question 3

The ED physician suspects that Mr. Ponopolous has acute pancreatitis. A CBC, serum amylase, lipase, trypsin, and elastase tests are ordered. What laboratory findings would the nurse anticipate?

 

Question 4

Mr. Ponopolous is admitted to a medical/surgical unit for acute pancreatitis. With which professional health care team members should the nurse collaborate to address Mr. Ponopolous’s health care needs?

 

 

 

 

 

 

SCIENCE
HEALTH SCIENCE
NURSING
NURSING 110

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