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 C

Explanation

C A random plasma glucose level of 200 mg/dL (11.1 mmol/L) is indicative of hyperglycemia and suggests possible diabetes mellitus. This finding is significant and should be reported promptly to the healthcare provider for further evaluation and management.
D Hemoglobin A1C (HbA1C) is a measure of average blood glucose levels over the past 2-3 months. A level of 7% indicates poorly controlled diabetes, as the target for most individuals with diabetes is less than 7%. This finding suggests inadequate glycemic control and requires attention from the healthcare provider for adjustment of treatment regimen.
A While total cholesterol levels are important for assessing cardiovascular risk, a value of 180 mg/dL is within the desirable range (less than 200 mg/dL) and is not directly related to the symptoms reported by the client.
B Hematocrit levels within the reference range do not directly relate to the symptoms reported by the client and are not indicative of the underlying cause of frequent urination, hunger, and great thirst.

E While serum potassium levels are important for assessing electrolyte balance, a value of 4.2 mEq/L is within the normal reference range (3.5 to 5 mEq/L) and is not directly related to the symptoms reported by the client.

A. Notify the healthcare provider as soon as possible. B. Wear braces on both wrists during the night. C. Elevate the hands on two pillows at night. D. Apply cold compresses for 30 minutes before bedtime.

Correct Answer is B

Explanation

B. Wearing wrist braces or splints at night can help alleviate symptoms of carpal tunnel syndrome by keeping the wrists in a neutral position and reducing pressure on the median nerve. This can help decrease pain and tingling sensations that often worsen at night due to positioning during sleep.
A. While it is important for the client to communicate changes in symptoms to their healthcare provider, worsening pain and tingling at night in bilateral carpal tunnel syndrome is a common symptom and may not require immediate medical intervention.
C. Elevating the hands on two pillows at night may help reduce swelling and alleviate symptoms in some individuals, but it is not specifically indicated for managing carpal tunnel syndrome.
D. Cold compresses may provide temporary relief of symptoms such as pain and inflammation, but they are not typically recommended as a primary treatment for carpal tunnel syndrome, especially before bedtime.

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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 C

Explanation

A client with bilateral carpal tunnel syndrome reports to the nurse that the pain and tingling experienced worsens at night. Which client teaching should the nurse provide?

Correct Answer is B

Explanation

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