Author Question: A patient reports epigastric abdominal pain, nausea, and vomiting. The serum amylase level is 450 ... (Read 52 times)

KimWrice · **on:** Jun 25, 2018

A patient reports epigastric abdominal pain, nausea, and vomiting. The serum amylase level is 450 units/dL. For which health problem should the nurse plan care?

1. gastritis
2. malnutrition
3. pancreatitis
4. diverticulitis

Question 2

When assessing a patient's abdomen, the nurse notes frequent pulsations in the epigastric region. What action should the nurse take?

1. document the findings as hyperactive bowel sounds
2. review the patient's medical records for signs and symptoms of cirrhosis, which may indicate ascites
3. note the time when the patient last voided
4. notify the physician about the findings

zoeyesther · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 3
Epigastric pain and an elevated serum amylase level are manifestations of pancreatitis but not of malnutrition or diverticulitis. The serum amylase level is not elevated in gastritis.

Answer to Question 2

Correct Answer: 4
Patients having an aortic aneurysm present with increased pulsations. This should be reported. Bowel sounds are audible, not visible. Bladder distention is not manifested as pulsations. Ascites is the collection of fluid.