A nurse is caring for a client diagnosed with acute pancreatitis. After treating the client's pain, which of the following should the nurse address as the priority intervention?

Provide oral hygiene.

Assist the client to a side-lying position.

Auscultate the client's lungs.

Withhold oral fluids and food.

Answer and Explanation

The Correct Answer is D

A. Provide oral hygiene.
Providing oral hygiene is important for the client's comfort and overall well-being. However, in the context of acute pancreatitis, the immediate priority is to address the gastrointestinal symptoms and prevent further pancreatic stimulation.

B. Assist the client to a side-lying position.
Assisting the client to a side-lying position can be beneficial for comfort and may help prevent complications such as aspiration. However, it is not the immediate priority after treating the pain. Withholding oral fluids and food takes precedence in the initial management of acute pancreatitis.

C. Auscultate the client's lungs.
Auscultating the client's lungs is a routine nursing assessment and is important for respiratory monitoring. However, in the context of acute pancreatitis, the primary focus is on addressing gastrointestinal symptoms, and respiratory assessment becomes more critical if respiratory distress is suspected.

D. Withhold oral fluids and food.
Withholding oral fluids and food is the priority intervention after treating the pain in acute pancreatitis. This is done to reduce pancreatic stimulation, allowing the pancreas to rest and recover. NPO (nothing by mouth) status is often initiated in the early management of acute pancreatitis.

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Correct Answer is C

Explanation

A. "Wear compression stockings daily":

Compression stockings are not directly related to preventing the complications of retinopathy and nephropathy in diabetes. They are more commonly recommended for managing conditions like venous insufficiency and preventing blood clots.

B. "Have an eye examination once per year":

While regular eye examinations are important for monitoring and early detection of diabetic retinopathy, maintaining stable blood glucose levels is more directly related to preventing the progression of retinopathy.

C. "Maintain stable blood glucose levels":

This is the correct instruction. Stable blood glucose levels are crucial in preventing and minimizing the long-term complications of diabetes, including retinopathy (damage to the retina) and nephropathy (kidney damage). Consistent blood glucose control is key to reducing the risk of complications.

D. "Examine your feet carefully every day":

Daily foot examinations are essential for preventing diabetic foot complications, including ulcers and infections. While important for overall diabetes management, foot care is not specifically directed at preventing retinopathy and nephropathy.

A. Hepatitis A infects the kidneys. B. Manifestations of the virus are similar to flu-like symptoms. C. The incubation of the virus is 5 days. D. A family history increases your risk for acquiring hepatitis A

Correct Answer is B

Explanation

A. Hepatitis A does not infect the kidneys. Hepatitis A is a viral infection that primarily affects the liver, causing inflammation.

B. Manifestations of hepatitis A are indeed similar to flu-like symptoms. Common symptoms include fever, fatigue, nausea, vomiting, abdominal pain, loss of appetite, and jaundice (yellowing of the skin and eyes).

C. The incubation period for hepatitis A is typically 15 to 50 days, not 5 days. The incubation period is the time between exposure to the virus and the onset of symptoms.

D. A family history is not a significant risk factor for acquiring hepatitis A. Hepatitis A is primarily transmitted through the fecal-oral route, often due to contaminated food or water. It is more commonly associated with exposure to the virus through contaminated environments or ingestion of contaminated food or water.

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A nurse is caring for a client diagnosed with acute pancreatitis. After treating the client's pain, which of the following should the nurse address as the priority intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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