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
While a sore throat can be a side effect of an upper endoscopy, it is not the priority for monitoring after the procedure.
Choice B rationale
Abdominal bloating can occur after an upper endoscopy, but it is not the priority for monitoring.
Choice C rationale
Monitoring the return of the gag reflex is a priority after an upper endoscopy. The gag reflex may be impaired due to the use of local anesthetics during the procedure. An impaired gag reflex increases the risk of aspiration.
Choice D rationale
Belching can occur after an upper endoscopy, but it is not the priority for monitoring

A. “I will refrain from eating raw fruits and vegetables.”. B. “I will avoid taking iron supplements before testing.”. C. “I will avoid steak and other red meats.”. D. “I will continue my low-dose aspirin therapy regimen.”. .

Correct Answer is D

Explanation

Choice A rationale
It is recommended to refrain from eating raw fruits and vegetables before a fecal occult blood test, as they can cause a false-positive result.
Choice B rationale
Avoiding iron supplements before testing is also recommended, as they can interfere with the test results.
Choice C rationale
It is advised to avoid red meats before the test, as they can cause a false-positive result.
Choice D rationale
Continuing a low-dose aspirin therapy regimen may cause a false-positive result on a fecal occult blood test. Aspirin can cause gastrointestinal bleeding, which could be detected by the test. Bile ductBile duct Explore

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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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Explanation

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Correct Answer is D

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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?