The nurse is caring for a client with chronic pancreatitis. Which intervention is appropriate for this diagnosis?
Provide a high-fat diet
Check blood glucose
Maintain a semi-Fowler's position
Assess for hypotension
The Correct Answer is B
Choice A reason: A high-fat diet is not recommended for clients with chronic pancreatitis as it can exacerbate symptoms and lead to malabsorption issues.
Choice B reason: Checking blood glucose is important because chronic pancreatitis can affect the endocrine function of the pancreas, potentially leading to diabetes.
Choice C reason: While a semi-Fowler's position may be comfortable for some patients, it is not specifically an intervention for chronic pancreatitis.
Choice D reason: Assessing for hypotension is a general nursing intervention but not specific to the management of chronic pancreatitis.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Impaired elimination may be a concern with pancreatitis due to potential complications affecting the gastrointestinal tract, but it is not the immediate priority.
Choice B reason: Fluid imbalance is the most critical issue in acute pancreatitis, as evidenced by inelastic skin turgor and concentrated urine, indicating dehydration, which can exacerbate the condition and lead to hypovolemic shock.
Choice C reason: Fever may be present due to inflammation or infection, but the temperature provided is not indicative of a significant fever and is not the priority over fluid imbalance.
Choice D reason: Nausea is a symptom of acute pancreatitis and while it needs to be managed, it is not the priority over fluid imbalance.
Correct Answer is A
Explanation
Choice A reason: A thyroidectomy, which is the surgical removal of the thyroid gland, directly leads to hypothyroidism because the body can no longer produce thyroid hormones. This client is at the greatest risk of developing hypothyroidism.
Choice B reason: While exposure to certain chemicals in pesticides can be a risk factor for thyroid dysfunction, it does not pose as immediate a risk as the removal of the thyroid gland itself.
Choice C reason: Thyroid nodules can be associated with thyroid dysfunction, but not all nodules result in hypothyroidism, and many are benign and asymptomatic.
Choice D reason: Vomiting secondary to influenza is not directly related to the development of hypothyroidism.
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