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    HESI RN Med surg proctored exam 2

    The nurse is caring for a client who had a cholecystectomy two days ago. The client is febrile, reporting upper abdominal pain radiating to the back, and has had three episodes of vomiting in the last 8 hours. The nurse reviews the client's serum amylase and lipase level results, which are twice the normal value. Based on these findings, the nurse should recognize the client is exhibiting symptoms of which condition?

    Explanation & Rationale

    Choice A reason:The correct answer is a) because elevated serum amylase and lipase levels, along with upper abdominal pain radiating to the back and vomiting, are classic signs of acute pancreatitis.Choice B reason: Biliary duct obstruction could cause some of these symptoms, but it would not necessarily result in elevated amylase and lipase levels.Choice C reason: Hepatorenal failure involves liver and kidney dysfunction but does not directly explain elevated amylase and lipase levels.Choice D reason: A surgical site infection could cause fever, but it would not account for elevated amylase and lipase levels or the specific pattern of pain.

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