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 A

Explanation

Choice A rationale
Increasing fluid and fiber intake is one of the first steps in managing constipation in elderly patients. Fiber adds bulk to the stool and makes it easier to pass, while fluids help keep the stool soft.
Choice B rationale
While avoiding gas-producing foods may help with some digestive issues, it’s not specifically helpful for managing constipation.
Choice C rationale
While a stool softener can help relieve constipation, it’s usually considered after dietary changes have been tried without success.
Choice D rationale
Physical activity can help stimulate bowel movements and is often recommended as part of constipation management. However, it’s not the first step, and its effectiveness can depend on the individual’s overall health and mobility.
Question 31.

A. Increase fiber intake B. CT of the abdomen with contrast C. Flexible sigmoidoscopy D. Change IV fluids to 0.9% sodium chloride with KCl E. Type and crossmatch blood F. Administer IV piperacillin-tazobactam

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"C"}}

Explanation

• Increase fiber intake: This is nonessential at this time. While a high-fiber diet can help prevent future episodes of diverticulitis, it won’t help in the acute phase, especially when the client is unable to eat or drink without vomiting.
• CT of the abdomen with contrast: This is an anticipated action. A CT scan can help confirm the diagnosis of diverticulitis and assess the severity of the condition.
• Flexible sigmoidoscopy: This is an anticipated action. A flexible sigmoidoscopy can help visualize the diverticula and assess the extent of the inflammation.

• Change IV fluids to 0.9% sodium chloride with KCl: This is an anticipated action. The client is likely dehydrated due to vomiting and unable to take oral fluids, so IV hydration is necessary. The client’s potassium level is at the lower end of the normal range, so adding KCl to the IV fluids can help prevent hypokalemia.
• Type and crossmatch blood: This is an anticipated action. The client has a positive stool occult blood test and a lower than normal hemoglobin and hematocrit, suggesting that he may be experiencing bleeding. It’s important to have blood ready for a transfusion if necessary.
• Administer IV piperacillin-tazobactam: This is contraindicated. Piperacillin-tazobactam is a penicillin-based antibiotic, and the client has a known allergy to penicillin. Another class of antibiotics should be used. Please note that these are potential actions and the healthcare provider should be informed immediately for further evaluation and management. It’s important to continue following the provider’s prescriptions and closely monitor the client’s condition.

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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

A nurse is providing care for an elderly patient who is experiencing constipation. What action should the nurse take?

Correct Answer is A

Explanation

A nurse is caring for a 45-year-old male client in the emergency department who reports severe abdominal pain. Exhibits Based on the information provided, which of the following provider’s prescriptions are anticipated, nonessential, or contraindicated for the client? Select one response per row.

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"C"}}

Explanation

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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?