The nurse is caring for a client who is recovering from acute pancreatitis. The client asks the nurse when they can begin eating again. Which response by the nurse is most accurate?

When your pain is controlled and your serum amylase level decreases

When you have active bowel sounds and are passing flatus

As soon as you start to feel hungry you can begin eating

Oral intake can be started when you are more active

Answer and Explanation

The Correct Answer is B

Choice A reason: Pain control and lower amylase help, but resuming eating depends on gut function (bowel sounds, flatus), not just lab or pain status.

Choice B reason: Active bowel sounds and flatus indicate gut recovery post-pancreatitis, signaling readiness for oral intake, the most accurate marker for feeding resumption.

Choice C reason: Hunger isn’t a reliable indicator; eating too soon risks pancreatitis worsening if the gut isn’t ready, despite pain or amylase levels.

Choice D reason: Activity level doesn’t assess gut function; eating hinges on bowel recovery (sounds, flatus), not mobility, making this less precise.

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

Explanation

Choice A reason: Butterfly rash, a malar erythema, is a classic SLE sign, triggered by photosensitivity and immune complex deposition in skin, reflecting systemic inflammation.

Choice B reason: Pleural effusions occur in SLE from serositis, where autoantibodies inflame pleura, causing fluid buildup, a common thoracic manifestation of the disease.

Choice C reason: Elevated ammonia levels relate to liver failure, not SLE, which affects kidneys and joints, not ammonia metabolism, making this unrelated.

Choice D reason: Pericarditis in SLE results from immune-mediated inflammation of the pericardium, causing chest pain and effusion, a frequent cardiac feature.

Choice E reason: Esophageal varices stem from portal hypertension in cirrhosis, not SLE, which targets connective tissues, not liver vasculature directly.

A. Fluticasone B. Captopril C. Carvedilol D. Isosorbide dinitrate

Correct Answer is C

Explanation

Choice A reason: Fluticasone, an inhaled steroid, treats asthma inflammation safely in heart failure, reducing airway reactivity without cardiac impact, so no clarification is needed.

Choice B reason: Captopril, an ACE inhibitor, reduces preload in heart failure, safe with asthma as it doesn’t affect airways, aligning with standard therapy.

Choice C reason: Carvedilol, a non-selective beta-blocker, treats heart failure but risks bronchospasm in asthma by blocking beta-2 receptors, requiring clarification for safety.

Choice D reason: Isosorbide dinitrate dilates vessels in heart failure, reducing workload, with no asthma contraindication, making it appropriate without needing clarification.

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The nurse is caring for a client who is recovering from acute pancreatitis. The client asks the nurse when they can begin eating again. Which response by the nurse is most accurate?

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Naxlex Comprehensive Predictor Exams

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