The nurse is caring for a client with chronic pancreatitis who reports persistent gnawing abdominal pain. To help the client manage the pain, which assessment data is most important for the nurse to obtain?

Activity level of bowel sounds.

Eating patterns of dietary intake.

Level and amount of physical activity.

Color and consistency of feces.

Answer and Explanation

The Correct Answer is B

B. Dietary intake plays a significant role in the management of chronic pancreatitis pain. Certain foods, especially those high in fat, can exacerbate symptoms and trigger pain episodes in clients with pancreatitis.
A. While assessing the activity level of bowel sounds is important for monitoring gastrointestinal function, it is not the most crucial assessment data in this scenario. Bowel sounds may be decreased or absent in clients with severe abdominal pain, but addressing the dietary triggers of chronic pancreatitis pain takes priority.
C. Assessing the level and amount of physical activity is important for overall health and may play a role in managing chronic pancreatitis. However, in the context of persistent gnawing abdominal pain, addressing dietary factors that exacerbate the pain is more immediate and crucial.
D. Assessing the color and consistency of feces is important for monitoring gastrointestinal function and identifying signs of malabsorption or steatorrhea, which can occur in chronic pancreatitis. However, in the context of persistent gnawing abdominal pain, assessing dietary intake and potential triggers of pain is more pertinent to pain management.

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Correct Answer is A

Explanation

A. The client is receiving heparin sodium, an anticoagulant medication, which increases the risk of bleeding during surgery, especially in combination with the open fracture and ongoing bleeding. The healthcare provider needs to be informed of the client's medication history to determine the appropriate management of anticoagulation therapy perioperatively.
B. While obtaining informed consent for surgery and potential blood transfusion is important, it is not the priority in this situation.
C. Monitoring the injection sites for signs of bruising is important for assessing for complications related to heparin administration, such as hematoma formation or bleeding. However, in the context of a client with an open fracture and moderate bleeding, the priority is to address the potential interaction between heparin therapy and the risk of bleeding from the fracture site.
D. While it is important to provide education to the client about the potential risks and complications associated with surgery, including bleeding, this is not the priority nursing action in this situation.

A. Select another finger. B. Assess radial pulse volume. C. Collect the blood sample. D. Apply pressure to the site.

Correct Answer is D

Explanation

D. Applying pressure to the site helps to reduce engorgement and promote normal blood flow. This action can help alleviate the localized congestion and ensure a more accurate fingerstick glucose measurement. Once the pressure is applied and the congestion subsides, the nurse can proceed with collecting the blood sample.
A. While selecting another finger may be considered if the initial fingerstick attempt was unsuccessful or if the fingertip is excessively traumatized, it may not be necessary if the observation of redness and engorgement can be addressed with appropriate pressure application to the site.
B. Assessing radial pulse volume is not directly relevant to addressing the observed redness and engorgement of the fingertip after milking. This action is more appropriate for evaluating peripheral circulation and arterial perfusion in other clinical contexts
C. Collecting the blood sample without addressing the observed redness and engorgement of the fingertip may result in a suboptimal sample quality and could cause discomfort or further tissue trauma to the client.

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The nurse is caring for a client with chronic pancreatitis who reports persistent gnawing abdominal pain. To help the client manage the pain, which assessment data is most important for the nurse to obtain?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

The nurse is obtaining a client's fingerstick glucose level. After gently milking the client's finger, the nurse observes that the distal tip of the finger appears reddened and engorged. Which action should the nurse take?

Correct Answer is D

Explanation

A client presents to the emergency department reporting chest pain that is radiating to the left arm, shortness of breath, and diaphoresis. Which medication should the nurse anticipate being prescribed by the healthcare provider?

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