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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Dumping syndrome is a common complication after gastric surgery. It is a condition where ingested foods bypass the stomach too rapidly and enter the small intestine largely undigested. It’s called "dumping" because the contents of the stomach are "dumped" into the small intestine too quickly.
Choice B rationale
Hypothyroidism is not typically a complication of gastric surgery. Hypothyroidism is a condition in which the thyroid gland does not produce enough thyroid hormones. It is not directly related to gastric surgery.
Choice C rationale
While pulmonary embolism is a potential complication of any surgery due to the risk of blood clots, it is not specific to gastric surgery.
Choice D rationale
Urinary tract infections are not typically a complication of gastric surgery. They occur when bacteria enter the urinary tract, and are not directly related to gastric surgery.
Correct Answer is B
Explanation
Choice A rationale
Development of gastric ulcers is not a common complication of an esophagogastroduodenoscopy (EGD) procedure. Gastric ulcers are typically caused by factors such as Helicobacter pylori infection or long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs), not by the EGD procedure itself.
Choice B rationale
Perforation of the esophagus, stomach, or duodenum is a potential complication of an EGD procedure. During an EGD, a flexible tube with a camera is inserted through the mouth and down into the gastrointestinal tract. If the tube accidentally punctures or tears the lining of the esophagus, stomach, or duodenum, it can cause a perforation. This is a serious complication that requires immediate medical attention.
Choice C rationale
While allergic reactions to the sedation medication used during an EGD procedure can occur, they are not a direct complication of the EGD procedure itself. Allergic reactions would be related to the specific medication used for sedation and not the procedure.
Choice D rationale
Infection at the site of the procedure is not a common complication of an EGD. The procedure is performed using aseptic technique to minimize the risk of infection.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
