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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["10"]
Explanation
- Read the medication label carefully and check the dosage and concentration of Ceclor.
- The label shows that Ceclor is available as a suspension with 250 mg/5 mL.
- To calculate the volume of medication needed, use the formula: Volume = Dose / Concentration
- Plug in the values from the order and the label: Volume = 0.5 g / (250 mg/5 mL)
- Convert grams to milligrams by multiplying by 1000: Volume = 500 mg / (250 mg/5 mL)
- Simplify the fraction by dividing both numerator and denominator by 250: Volume = 2 / (1/5)
- Invert and multiply the fractions: Volume = 2 x 5
- Solve for volume: Volume = 10 mL
- The patient will receive 10 mL of Ceclor suspension.
Correct Answer is A
Explanation
Choice A reason:
Gallstones are a common cause of acute pancreatitis, as they can obstruct the pancreatic duct and lead to inflammation.
Choice B reason:
While diabetes mellitus can be a risk factor for pancreatitis, it is not specific to acute pancreatitis.
Choice C reason:
Chronic obstructive pulmonary disease (COPD) is not directly related to acute pancreatitis.
Choice D reason:
Hypolipidemia (low blood lipid levels) is not a common risk factor for acute pancreatitis.
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