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Question 1 of 1
1. Question
A client admitted to the hospital with a suspected diagnosis of acute pancreatitis is being assessed by the nurse. Which assessment findings would be consistent with acute pancreatitis? Select all that apply.
Correct
Options: 4, 5, 6 are the correct answer.
Rationale: Grayish-blue discoloration at the flank is known as Grey-Turner’s sign and occurs as a result of pancreatic enzyme leakage to cutaneous tissue from the peritoneal cavity. The client may demonstrate abdominal guarding and may complain of tenderness with palpation. The pain associated with acute pancreatitis is often sudden in onset and is located in the epigastric region or left upper quadrant with radiation to the back. The other options are incorrect.
Test-Taking Strategy: Noting that options 1 and 3 are comparable or alike will assist you in eliminating these options first. Then recall that black, tarry stools occur when there is gastrointestinal bleeding, so this can also be eliminated. From the remaining options, recall the anatomical location of the pancreas, the pain characteristics, and the effect of enzymes leaking into the tissues to direct you to the correct options.
Incorrect
Options: 4, 5, 6 are the correct answer.
Rationale: Grayish-blue discoloration at the flank is known as Grey-Turner’s sign and occurs as a result of pancreatic enzyme leakage to cutaneous tissue from the peritoneal cavity. The client may demonstrate abdominal guarding and may complain of tenderness with palpation. The pain associated with acute pancreatitis is often sudden in onset and is located in the epigastric region or left upper quadrant with radiation to the back. The other options are incorrect.
Test-Taking Strategy: Noting that options 1 and 3 are comparable or alike will assist you in eliminating these options first. Then recall that black, tarry stools occur when there is gastrointestinal bleeding, so this can also be eliminated. From the remaining options, recall the anatomical location of the pancreas, the pain characteristics, and the effect of enzymes leaking into the tissues to direct you to the correct options.
Acute pancreatitis
Assessment Findings:
Abdominal pain, including a sudden onset at a midepigastric or left upper
quadrant location with radiation to the back
Pain aggravated by a fatty meal, alcohol, or lying in a recumbent position
Abdominal tenderness and guarding
Nausea and vomiting
Weight loss
Absent or decreased bowel sounds
Elevated white blood cell count and elevated glucose, bilirubin, alkaline phosphatase, and urinary amylase levels
