A client with pancreatitis reports severe epigastric pain, so the nurse administers a prescribed narcotic analgesic. Ten minutes later, the client insists on sitting up and leaning forward. Which intervention should the nurse implement?
Encourage rest until the analgesic becomes effective.
Position bedside table so the client can lean across it.
Raise head of bed until to a 90-degree angle.
Place bed in a reverse Trendelenburg position.
The Correct Answer is B
Choice A reason: Encouraging rest may not relieve the pain; sitting up and leaning forward is a common position for relief in pancreatitis.
Choice B reason: Positioning the bedside table allows the client to lean forward comfortably and may help alleviate the pain.
Choice C reason: Raising the head of the bed to a 90-degree angle may not provide the same relief as leaning forward.
Choice D reason: Reverse Trendelenburg position is not specifically indicated for pancreatitis pain relief.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Administering normal saline solution alone will not address the severe anemia caused by the low hemoglobin level.
Choice B reason: Obtaining additional consent is necessary, but it is not the immediate action required in this emergency situation.
Choice C reason: Rechecking the client's hemoglobin, blood type, and Rh factor is important, but the immediate priority is to address the severe anemia.
Choice D reason: Transfusing Type A negative blood is appropriate because it is compatible with AB negative blood and is necessary to treat the client's critical anemia.
Correct Answer is C
Explanation
Choice A reason: Confirming the continuous passive motion device is intact is important but secondary to assessing the source of the drainage.
Choice B reason: Withholding the next dose of low molecular weight heparin should only be done based on a healthcare provider's order after assessing the situation.
Choice C reason: Determining if the wound drainage device is functioning correctly is essential to manage the excessive drainage and ensure that there is no blockage or malfunction.
Choice D reason: Monitoring the client's WBC count is important for detecting infection but is not the immediate action required for managing active drainage.
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