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: Listing the procedural steps is helpful but does not demonstrate practical competence.

Choice B reason: Reviewing glycosylated hemoglobin levels provides information about long-term glucose control but does not directly assess the technique.

Choice C reason: Observing the adolescent as he demonstrates the self-injection technique ensures that he has understood and can correctly perform the procedure, providing the best evaluation of teaching effectiveness.

Choice D reason: Describing the level of comfort provides insight into his confidence but not necessarily his technical competence.

A. Recommend that the client's family return to the area to help provide assistance. B. Advise to have a case management evaluation of the client's home environment. C. Suggest contacting social services to help find a respite care facility for her husband. D. Tell her to consider hiring a private nurse during the postoperative convalescence.

Correct Answer is B

Explanation

Choice A reason: Recommending that the client's family return to the area to help provide assistance is not always feasible and may place undue stress on the family. It is also not a sustainable long-term solution.

Choice B reason: Advising a case management evaluation of the client's home environment is the best response as it allows for a comprehensive assessment of the client's needs and resources. The case manager can help coordinate care, arrange for necessary services, and provide support for both the client and her husband.

Choice C reason: Suggesting contacting social services to help find a respite care facility for her husband is a reasonable option, but it may not be the most immediate or suitable solution for the client’s concerns. This option should be considered as part of the overall case management plan.

Choice D reason: Telling her to consider hiring a private nurse during the postoperative convalescence may be helpful, but it can be costly and may not be necessary if other support systems are in place. It should be discussed as part of the case management evaluation.

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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

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Correct Answer is C

Explanation

Correct Answer is B

Explanation

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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?