A nurse is caring for a client who has acute pancreatitis. After treating the client’s pain, which of the following should the nurse address as the priority intervention?
Withhold oral fluids and food.
Auscultate the client’s lungs.
Provide oral hygiene.
Assist the client to a side-lying position.
The Correct Answer is A
Choice A reason: Withhold oral fluids and food
Withholding oral fluids and food (NPO status) is a critical intervention for clients with acute pancreatitis. This helps to rest the pancreas by reducing the stimulation of pancreatic enzyme secretion, which can exacerbate inflammation and pain. Maintaining NPO status is essential to prevent further pancreatic damage and to allow the pancreas to heal.
Choice B reason: Auscultate the client’s lungs
While auscultating the lungs is an important part of the overall assessment, it is not the immediate priority after pain management in acute pancreatitis. Respiratory complications can occur, but the primary focus should be on managing the pancreatic inflammation and preventing further damage.
Choice C reason: Provide oral hygiene
Providing oral hygiene is important for overall patient care, especially when the client is NPO. However, it is not the priority intervention immediately after pain management. The primary concern is to prevent further pancreatic stimulation and manage the inflammation.
Choice D reason: Assist the client to a side-lying position
Assisting the client to a side-lying position can help with comfort and may be beneficial in managing pain. However, it is not the priority intervention. The main focus should be on preventing further pancreatic stimulation by withholding oral intake.
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Correct Answer is D
Explanation
Choice A reason: Implement a resolution
Implementing a resolution without first understanding the root cause of the conflict can lead to ineffective solutions and may not address the underlying issues. It is essential to identify the problem first to ensure that any resolution is appropriate and effective.
Choice B reason: Evaluate the results
Evaluating the results is an important step in the conflict resolution process, but it comes after implementing a solution. Before any evaluation can take place, the problem must be identified, and a resolution must be implemented. Therefore, this step is not the first action to take.
Choice C reason: Brainstorm solutions
Brainstorming solutions is a critical part of resolving conflicts, but it should occur after the problem has been clearly identified. Without a clear understanding of the problem, brainstorming may not yield effective solutions. Identifying the problem ensures that the brainstorming session is focused and productive.
Choice D reason: Identify the problem
Identifying the problem is the first and most crucial step in resolving any conflict. Understanding the root cause of the conflict between the pharmacy and the staff nurses will provide a clear direction for developing effective solutions. This step involves gathering information, listening to all parties involved, and pinpointing the specific issues that need to be addressed.
Correct Answer is D
Explanation
Choice A reason:
Administering medication with an oral syringe is a recommended practice for giving liquid medication to infants. An oral syringe allows for accurate measurement and controlled delivery of the medication, reducing the risk of choking and ensuring the infant receives the correct dose. Therefore, this statement does not indicate a need for further instruction.
Choice B reason:
Inserting the medication in the infant’s buccal cavity (the space between the gums and the cheek) is also a recommended technique. This method helps to prevent the infant from spitting out the medication and ensures better absorption. Hence, this statement does not indicate a need for further instruction.
Choice C reason:
Allowing the infant to swallow some of the medication before administering more is a safe and effective way to give medication. This approach helps to prevent choking and ensures that the infant can handle the amount of medication being given. Therefore, this statement does not indicate a need for further instruction.
Choice D reason:
Positioning the infant in a supine position (lying flat on their back) is not recommended when administering oral medication. This position increases the risk of aspiration, where the medication could enter the airway instead of the esophagus. The correct position is to hold the infant in an upright or semi-upright position to ensure safe swallowing and reduce the risk of choking or aspiration. Therefore, this statement indicates a need for further instruction.
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