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 D

Explanation

Choice A reason: Using sterile water for gastric lavage is not relevant to maintaining normal growth and development.

Choice B reason: Physical therapy is not pertinent to the current medical situation of a 2-month-old infant awaiting surgery for hypertrophic pyloric stenosis.

Choice C reason: Ensuring placement of the nasogastric tube is necessary for decompression but does not directly address growth and development.

Choice D reason: Offering a pacifier for nonnutritive sucking helps provide comfort and supports the infant's natural sucking reflex, which is important for growth and development.

A. Relevance to the situation. B. Related personal values. C. Frequency that the problem occurs. D. Past experience with similar problems.

Correct Answer is A

Explanation

Choice A reason: Relevance to the situation is the most important consideration when gathering evidence to ensure that the information directly addresses the specific clinical question and problem at hand.

Choice B reason: Related personal values are important but secondary to the relevance of evidence in making clinical decisions.

Choice C reason: Frequency that the problem occurs is useful information but not as crucial as ensuring the evidence is directly relevant.

Choice D reason: Past experience with similar problems can inform decision-making but should be supported by relevant and current evidence.

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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

Correct Answer is D

Explanation

Correct Answer is A

Explanation

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