A client with a history of chronic pancreatitis reports weight loss of 10 pounds over the last month and foul smelling stools. What would be a priority action for the nurse to take?

Review diet history

Obtain a dietary consult

Administer IV fluids

Send stool for fecal fat

Answer and Explanation

The Correct Answer is D

A)   While reviewing the diet history is important to understand nutritional intake and habits, it is not the priority action in this case.
B)   Consulting a dietitian is important but should follow an assessment that identifies the specific issue causing the symptoms.
C)   This action may be necessary if the patient is dehydrated but doesn’t address the primary concern of foul-smelling stools and weight loss.
D)   This test is crucial as it helps confirm the diagnosis of malabsorption, which is likely given the patient’s history of chronic pancreatitis and symptoms described. This would be the priority to confirm the cause of the symptoms.

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Correct Answer is B

Explanation

A) Monitoring blood glucose is more relevant for diabetic care.

B) A sodium diet is appropriate for managing fluid retention associated with liver disease.
C) Bedrest may be prescribed but not as specific to the management of fluid retention.
D) Insertion of an indwelling urinary catheter is not a standard intervention without additional justification.

A. Auscultate lungs B. Monitor I&O C. Check stools for blood D. Initiate fall precautions

Correct Answer is C

Explanation

A) While important, it is not directly related to the coagulopathy indicated by the prolonged PT.
B) Important for overall fluid management but not directly related to the risk of bleeding.
C) With a significantly prolonged PT, assessing for signs of gastrointestinal bleeding is a priority.

D) Important for safety, but the immediate risk of bleeding due to coagulopathy takes precedence.

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A client with a history of chronic pancreatitis reports weight loss of 10 pounds over the last month and foul smelling stools. What would be a priority action for the nurse to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is admitting a client with liver disease who presents with dyspnea, weight gain and abdominal distention. Which order would the nurse anticipate?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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