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 B

Explanation

Choice A reason:

While thirst can be a sign of dehydration, it is not specific to recurrence of a GI bleed.

Choice B reason:

This is the correct answer. Tachycardia (rapid heart rate), hypotension (low blood pressure), and tachypnea (rapid breathing) are signs of potential recurrence of a GI bleed and should be closely monitored.

Choice C reason:

Diaphoresis (excessive sweating) and sudden onset of abdominal pain could be indicative of various conditions, but they are not specific to recurrence of a GI bleed.

Choice D reason:

Tarry, foul-smelling stools are indicative of melena, which is a sign of a GI bleed. However, in this scenario, the bleeding has been controlled, so this is not an expected sign of recurrence.

A. "This medication will make the lining of your stomach more resistant to damage." B. "This medication will specifically address the pain that accompanies peptic ulcer disease." C. "This medication will help your stomach lining to repair itself." D. "This medication will reduce the amount of acid secreted in your stomach."

Correct Answer is D

Explanation

Choice A reason:

Omeprazole is a proton pump inhibitor that reduces acid secretion in the stomach, but it doesn't directly make the stomach lining more resistant to damage.

Choice B reason:

While omeprazole can alleviate pain associated with peptic ulcer disease, its primary action is related to acid reduction.

Choice C reason:

Omeprazole primarily reduces acid secretion and doesn't directly facilitate the repair of the stomach lining.

Choice D reason:

This statement is correct. Omeprazole belongs to a class of medications known as proton pump inhibitors, which work by reducing the amount of acid produced in the stomach. This helps to alleviate symptoms and promote healing in conditions like peptic ulcer disease.

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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 patient who experienced an upper GI bleed due to gastritis has had the bleeding controlled and the patient's condition is stable. For the next several hours, the nurse caring for this patient should assess for what signs and symptoms of recurrence?

Correct Answer is B

Explanation

A patient with a diagnosis of peptic ulcer disease has just been prescribed omeprazole (Prilosec). How should the nurse best describe this medication's therapeutic action?

Correct Answer is D

Explanation

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