A patient has been diagnosed with acute pancreatitis. The nurse is addressing the diagnosis of Acute Pain Related to Pancreatitis. What pharmacologic intervention is most likely to be ordered for this patient?

IV hydromorphone (Dilaudid)

Oral naproxen (Aleve)

IM meperidine (Demerol)

Oral oxycodone

Answer and Explanation

The Correct Answer is A

Choice A reason:

IV hydromorphone is an opioid analgesic that can provide effective pain relief and can be titrated to the patient's needs. It's commonly used for severe pain associated with conditions like acute pancreatitis.

Choice B reason:

Oral naproxen is a nonsteroidal anti-inflammatory drug (NSAID) that may be used for pain relief, but it's not the first-line treatment for acute pancreatitis. NSAIDs can potentially worsen the condition due to their effects on the gastrointestinal tract.

Choice C reason:

IM meperidine is an opioid analgesic that can be used for pain relief. However, in severe cases of acute pancreatitis, IV opioids are often preferred for more immediate and precise pain control.

Choice D reason:

Oral oxycodone is another opioid analgesic. However, in cases of acute pancreatitis, especially when pain is severe, IV opioids are often the preferred route of administration for more rapid and reliable pain relief.

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Correct Answer is C

Explanation

Choice A reason:

While foods high in fiber are generally healthy, they may not specifically address the issue of biliary colic related to cholecystitis.

Choice B reason:

Foods high in starch and proteins are important for overall nutrition, but they may not directly impact biliary colic.

Choice C reason:

This statement is correct. Avoiding foods high in fat is crucial for managing biliary colic in clients with chronic cholecystitis.

Choice D reason:

Avoiding foods high in sodium is important for cardiovascular health, but it is not the primary dietary modification for cholecystitis.

Correct Answer is ["31.25"]

Explanation

To calculate the correct rate of flow for this patient, we need to use the formula: Rate (gtt/min) = Volume (mL) x Calibration (gtt/mL) / Time (min)
Plugging in the given values, we get: Rate (gtt/min) = 125 mL x 15 gtt/mL / 60 min
Simplifying, we get: Rate (gtt/min) = 31.25 gtt/min
Therefore, the correct rate of flow for this patient is 31.25 gtt/min

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A patient has been diagnosed with acute pancreatitis. The nurse is addressing the diagnosis of Acute Pain Related to Pancreatitis. What pharmacologic intervention is most likely to be ordered for this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing dietary instructions for a client who has episodes of biliary colic from chronic cholecystitis. Which of the following instructions should the nurse include in the teaching plan?

Correct Answer is C

Explanation

A patient, admitted with a head injury, has an order for DSNS at 125 ml/hour. The IV tubing has a calibration of 15gtt/mL. What is the correct rate of flow for this patient in gtt/min?

Correct Answer is ["31.25"]

Explanation

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