A client with acute pancreatitis comes in with severe abdominal pain. The doctor orders NPO and an NG-tube. The nurse knows that NPO status and nasogastric tube patency will help treat pancreatitis by: (Select all that apply)
Nasogastric suction reduces intestinal distention.
Elimination of oral intake and gastric suction reduces gastric secretion.
NPO and NGT will help monitor intake and output.
Nasogastric decompression helps alleviate nausea and vomiting.
Reduction of gastric secretions that stimulate pancreatic enzymes.
Correct Answer : A,B,D,E
Choice A reason: Nasogastric suction reduces intestinal distention, which can help alleviate abdominal pressure and pain.
Choice B reason: Eliminating oral intake and gastric suction reduces gastric secretion, decreasing stimulation of the pancreas.
Choice C reason: Monitoring intake and output is important but not a direct treatment for pancreatitis.
Choice D reason: Nasogastric decompression helps alleviate nausea and vomiting, which are common symptoms of pancreatitis.
Choice E reason: Reduction of gastric secretions that stimulate pancreatic enzymes directly addresses the cause of pancreatitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Taking several deep breaths is not specifically related to the preparation for a renal system physical assessment. Deep breaths are more commonly associated with lung examination or to help the patient relax.
Choice B reason: Drinking several glasses of water before a renal assessment could potentially fill the bladder, which might interfere with palpation of the kidneys and make it uncomfortable for the patient.
Choice C reason: Emptying the bladder is the correct action before a renal system physical assessment. It allows for better palpation of the kidneys and other structures without the discomfort of a full bladder. It also prevents the possibility of the patient urinating involuntarily during the examination due to a full bladder.
Choice D reason: Providing a urine sample might be part of the overall renal assessment, but it is not necessary to do so immediately before the physical examination of the renal system. The sample can be collected at any time before or after the physical examination.
Correct Answer is D
Explanation
Choice A reason: While it is useful to know the patient's current pain management strategies, new onset severe back pain could indicate a serious complication such as a spinal fracture or compression, which requires immediate attention.
Choice B reason: Reassuring the patient is not appropriate without further assessment, as new onset severe pain could signify a serious issue that needs to be addressed.
Choice C reason: Suggesting a back brace may be part of the management plan, but it should not precede notifying the healthcare provider of new severe pain.
Choice D reason: Notifying the healthcare provider is the correct action because new onset severe back pain in a patient with multiple myeloma could indicate a serious condition such as a spinal fracture or compression, which requires prompt evaluation and treatment.
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