A client diagnosed with pancreatitis is reporting severe epigastric pain and intense nausea.
After the nurse administers a narcotic analgesic and an antiemetic, the client insists on sitting up and leaning forward. Which action should the nurse implement?
Reinforce bed rest until analgesic is effective.
Place bed in reverse Trendelenburg position.
Raise head of bed until at a 90-degree angle.
Position bedside table for client to lean across.
The Correct Answer is D
A. Reinforcing bed rest until the analgesic is effective may not address the client's need to sit up and lean forward. It's important to respond to the client's discomfort and find a position that
provides relief.
B. Placing the bed in reverse Trendelenburg position (head elevated, feet lowered) may not be the most effective position for a client experiencing severe epigastric pain and nausea. This
position could potentially worsen symptoms or discomfort.
C. Raising the head of the bed to a 90-degree angle may not provide optimal relief for the client.
While it's essential to elevate the head of the bed for comfort and to prevent aspiration, it may not address the client's specific need to lean forward.
D. Positioning a bedside table for the client to lean across allows the client to assume a position that often provides relief for epigastric pain associated with pancreatitis. Leaning forward can
help reduce pressure on the pancreas and alleviate discomfort. This position also facilitates drainage of gastric contents and may help alleviate nausea.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Attempting to distract the client with general conversation can help redirect the client's focus away from the discomfort and anxiety associated with the procedure. It can help alleviate anxiety and make the experience more tolerable for the client.
B. Explaining the procedure in detail while removing the staples may increase the client's anxiety and discomfort. While education about the procedure is important, it may not be the most
effective intervention in this situation.
C. Encouraging the client to continue to verbalize the anxiety acknowledges the client's feelings but may not effectively address the anxiety or alleviate discomfort during the procedure.
D. Reassuring the client that this is a simple nursing procedure may not be sufficient to alleviate the client's anxiety. The client's perception of the procedure as distressing is valid, and additional measures may be needed to help manage the anxiety and discomfort.
Correct Answer is A
Explanation
A. Young children, especially toddlers who engage in hand-to-mouth activities and play on aging outdoor playground equipment, are at high risk of lead poisoning due to potential exposure to
lead-based paint or contaminated soil.
B. While children with certain medical conditions may be more susceptible to the effects of lead poisoning, such as those with iron deficiency anemia or poor nutrition, having Type 1 diabetes mellitus does not directly increase the risk of lead exposure.
C. Children living in housing projects may be at increased risk of lead exposure due to deteriorating paint or other environmental factors, but the specific activity of playing on aging outdoor playground equipment poses a more immediate risk.
D. Adolescents working in environments where lead exposure is possible, such as a paint factory, are at risk of lead poisoning. However, the scenario of playing on aging outdoor playground
equipment presents a higher risk due to the potential for direct contact with lead-based paint or contaminated soil during play.
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