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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A reason: Placing an indwelling urinary catheter and instituting strict intake and output measurements can be done later if needed, but addressing the chest pain is the priority.

Choice B reason: Securing consent for coronary angiography and intervention is important but should be done after addressing the immediate chest pain and potential myocardial infarction.

Choice C reason: Administering aspirin is crucial as it acts as an antiplatelet agent, helping to reduce the risk of further clot formation and improving outcomes in the setting of acute coronary syndrome.

Choice D reason: Evaluating extremities for perfusion is important but secondary to administering aspirin in this acute situation.

Correct Answer is ["12.5"]

Explanation

Calculation Steps:

Step 1: Convert grams to milligrams: 1.5 grams × 1000 mg/gram = 1500 mg. Result = 1500 mg.

Step 2: Calculate the dose per administration: 1500 mg/day ÷ 3 doses/day = 500 mg/dose. Result = 500 mg/dose.

Step 3: Determine the volume for each dose: 200 mg/5 mL = 40 mg/mL, 500 mg ÷ 40 mg/mL = 12.5 mL.

Result = 12.5 mL.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a history of unstable angina presents to the emergency department with constant chest pressure that is unrelieved with rest. The client appears anxious, pale, and diaphoretic. After obtaining the client's vital signs, which action should the nurse take next?

Correct Answer is C

Explanation

Correct Answer is ["12.5"]

Explanation

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