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
Increasing fluid intake after a barium swallow test is recommended. This helps to flush the barium out of the system and can help to prevent constipation.
Choice B rationale
Stools will not be normal in color after a barium swallow test. It is normal for bowel movements to appear lighter in color, or even white, after a barium study.
Choice C rationale
The barium swallow test does examine the esophagus, stomach, duodenum, and jejunum. The barium coats the lining of these organs, making them easier to see on an X-ray.
Choice D rationale
Patients may need to take laxatives to prevent constipation from the barium. Barium can slow down the digestive system, so taking a laxative can help to keep things moving.

A. I will take the capsule before eating a meal in the morning. B. I should not take antacids while I’m on this medication. C. I will report any abdominal pain, diarrhea, or bleeding that occurs. D. I will need to take this drug for 3 weeks for my ulcer to heal. E. If I wish, I can open the capsule and sprinkle it on the food.

Correct Answer is ["A","B","E"]

Explanation

Choice A rationale
Omeprazole should be taken before eating a meal in the morning. This is because the drug works best when the stomach is empty, allowing it to effectively block the production of stomach acid.
Choice B rationale
It’s not necessary to avoid antacids while taking omeprazole. In fact, antacids can be used in combination with omeprazole if needed.
Choice C rationale
Patients should indeed report any abdominal pain, diarrhea, or bleeding that occurs while taking omeprazole. These could be signs of a serious side effect or complication.
Choice D rationale
The duration of treatment with omeprazole can vary depending on the condition being treated. For peptic ulcer disease, treatment typically lasts for 4-8 weeks, not just 3 weeks.
Choice E rationale

Omeprazole capsules can be opened and the contents sprinkled on food if needed. This can make the medication easier to swallow.

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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?

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Naxlex Comprehensive Predictor Exams

A patient has received a barium swallow test to rule out esophageal strictures and gastric ulcer. The nurse is educating the patient on what is expected post barium swallow. What statement indicates that the patient did not understand all of the teaching by the nurse?

Correct Answer is B

Explanation

The nurse instructs a client prescribed omeprazole for peptic ulcer disease about the use of the medication. Which patient statements indicate understanding of the instructions? (Select all that apply.)

Correct Answer is ["A","B","E"]

Explanation

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