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

Monitor peripheral pulses every 8 hr.

Ambulate the client three times daily.

Maintain NPO status.

Measure urine output every 4 hr.

Answer and Explanation

The Correct Answer is C

Choice A rationale
Monitoring peripheral pulses every 8 hours is not a specific intervention for a client who has acute pancreatitis. While it is important to monitor peripheral pulses as part of overall patient assessment, it does not directly address the needs of a patient with acute pancreatitis.
Choice B rationale
Ambulating the client three times daily is not a specific intervention for a client who has acute pancreatitis. While physical activity is generally beneficial for overall health, it does not directly address the needs of a patient with acute pancreatitis, especially during an acute attack.
Choice C rationale
Maintaining NPO (nothing by mouth) status is a common intervention for a client who has acute pancreatitis. This allows the pancreas to rest and recover, reducing inflammation and pain.
Choice D rationale
Measuring urine output every 4 hours is not a specific intervention for a client who has acute pancreatitis. While it is important to monitor urine output as part of overall patient assessment, it does not directly address the needs of a patient with acute pancreatitis.

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Correct Answer is B

Explanation

Choice A rationale
Eating a bedtime snack that contains a milk product is not typically recommended for patients with dumping syndrome. Dairy products can be high in fat and sugar, which can exacerbate symptoms.
Choice B rationale
Increasing protein in the diet is often recommended for patients with dumping syndrome. Protein helps to slow the movement of food through the stomach, which can help to prevent the rapid emptying that leads to symptoms.
Choice C rationale
Drinking at least one glass of water with each meal is not typically recommended for patients with dumping syndrome. Drinking fluids during meals can increase the speed at which food leaves the stomach, potentially worsening symptoms.
Choice D rationale
Eating three moderate-sized meals a day is not typically recommended for patients with dumping syndrome. Instead, patients are often advised to eat several small meals throughout the day to prevent overloading the stomach.

A. The pain is worse after I eat a meal high in fat. B. My pain is relieved by having a bowel movement. C. I feel so much better after eating. D. The pain radiates down to my lower back.

Correct Answer is C

Explanation

Choice A rationale
High-fat meals can exacerbate symptoms of gallbladder disease or pancreatitis, but they are not typically associated with peptic ulcer disease.
Choice B rationale
Relief of pain after a bowel movement is more indicative of conditions such as irritable bowel syndrome or inflammatory bowel disease, not peptic ulcer disease.
Choice C rationale
Peptic ulcer disease is characterized by a gnawing or burning pain that can be relieved by eating. This is because food neutralizes the stomach acid temporarily. However, the pain often returns after the food has been digested.
Choice D rationale

Pain radiating to the lower back can be a symptom of conditions such as pancreatitis or gallstones, but it is not typically associated with peptic ulcer disease.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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