A 13-year-old child has been admitted for acute pancreatitis. The ...

[luvbio]

A 13-year-old child has been admitted for acute pancreatitis. The parents want to know how the child contracted this disease. Which response by the nurse is the most appropriate?
 
  A.
  Has your child been exposed to pancreatitis?
  B.
  In most cases we don't find the cause.
  C.
  Microliths are a common causative factor.
  D.
  Your child is probably drinking alcohol.

Question 2

A nurse notes that a patient has a bluish discoloration of the periumbilical area. Which term will the nurse use when documenting this finding in the medical record?
 
  A.
  Cullen's sign
  B.
  Grey Turner's sign
  C.
  Kernig's sign
  D.
  Psoas sign

[aadams68]

Answer to Question 1

ANS: B
In children, the causative factors for pancreatitis are different than those seen in adults, who commonly develop pancreatitis secondary to alcohol abuse. Most cases of pediatric pancreatitis are idiopathic, which means the cause is not clear. The nurse's best reply is this one. Although microliths can cause pancreatitis, this is less common, and this response contains too much medical jargon to give the parents good information. The other two responses are inaccurate.

Answer to Question 2

ANS: A
Cullen's sign is an indication of pancreatitis and is described as a bluish periumbilical discoloration. Grey Turner's sign is also an indication of pancreatitis and is a bluish discoloration of the flank. Kernig's sign is used to assess for meningitis. Psoas sign is used to assess for pancreatitis.

[luvbio]

Thank you

[aadams68]

Happy to help you