A nurse is contributing to the care plan for a patient who has acute pancreatitis.
Which of the following interventions should the nurse include?

Monitor peripheral pulses every 8 hours

Measure urine output every 4 hours

Maintain NPO status

Ambulate the patient three times daily

Answer and Explanation

The Correct Answer is C

Choice A rationale
Monitoring peripheral pulses every 8 hours is not typically a priority in the care plan for a patient with acute pancreatitis. While cardiovascular monitoring is important in all patients, it is not specifically related to the management of acute pancreatitis.
Choice B rationale
Measuring urine output every 4 hours can be important in assessing fluid balance and kidney function, but it is not the primary intervention in the care plan for a patient with acute pancreatitis.
Choice C rationale
Maintaining NPO (nothing by mouth) status is a key intervention in the management of acute pancreatitis. This helps to rest the pancreas and reduce the production of digestive enzymes.
Choice D rationale
Ambulating the patient three times daily is generally a good practice for postoperative recovery, but it is not specific to the care of a patient with acute pancreatitis. In the acute phase of pancreatitis, rest is often recommended.

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Correct Answer is C

Explanation

Choice A rationale
This statement indicates fatigue and lack of energy, which are common symptoms in patients with end-stage liver cancer. However, it does not necessarily indicate denial.
Choice B rationale

This statement suggests acceptance rather than denial. The patient acknowledges the doctor’s efforts and seems to accept their own mortality.
Choice C rationale
This statement indicates denial. The patient is dismissing the doctor’s prognosis and expressing disbelief about the severity of their condition.
Choice D rationale
This statement suggests anger or frustration towards the doctor, but it does not necessarily indicate denial.

A. Clear liquid diet. B. Nasogastric tube insertion. C. Intravenous antibiotics. D. Strict intake and output monitoring.

Correct Answer is A

Explanation

Choice A rationale
A clear liquid diet may not provide adequate nutrition for a patient with peritonitis. Peritonitis, an inflammation of the peritoneum, can be caused by infection, including from bacteria or fungi, or by a rupture in the abdomen. It’s a serious condition that requires immediate treatment, often including antibiotics and surgery.
Choice B rationale
Nasogastric tube insertion can be a part of the management for peritonitis. It can help decompress the stomach and relieve symptoms such as nausea and vomiting.
Choice C rationale
Intravenous antibiotics are typically a part of the treatment plan for peritonitis, as the condition is often caused by an infection.
Choice D rationale
Strict intake and output monitoring is important in the management of peritonitis. It helps assess the patient’s fluid balance and response to treatment.

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A nurse is contributing to the care plan for a patient who has acute pancreatitis. Which of the following interventions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is A

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A nurse is contributing to the care plan for a patient who has acute pancreatitis.
Which of the following interventions should the nurse include?