The nurse is caring for a patient with chronic pancreatitis who reports persistent gnawing abdominal pain. What assessment data is most important for the nurse to obtain to help manage the patient’s pain?

Activity level of bowel sounds.

Level and amount of physical activity.

Eating patterns of dietary intake.

Color and consistency of feces.

Answer and Explanation

The Correct Answer is C

Choice A rationale
While the activity level of bowel sounds can provide information about the functioning of the gastrointestinal system, it is not the most important data to manage the patient’s pain from chronic pancreatitis.
Choice B rationale
The level and amount of physical activity can affect the patient’s pain level, but it is not the most crucial data for managing pain in chronic pancreatitis.
Choice C rationale
Eating patterns of dietary intake are the most important data to manage the patient’s pain. In chronic pancreatitis, certain foods can exacerbate the pain. Understanding the patient’s dietary habits can help in providing appropriate dietary modifications.
Choice D rationale
The color and consistency of feces can provide information about the patient’s digestive health, but it is not the most important data to manage the patient’s pain from chronic pancreatitis.

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Correct Answer is C

Explanation

Choice A rationale
Keeping the head of the bed elevated until the treatment is completed is not typically recommended to reduce the risk of vesicant extravasation during intravenous chemotherapy.
Choice B rationale
Instructing the client to drink plenty of fluids during the treatment does not directly reduce the risk of vesicant extravasation. Hydration can help maintain good vein health, but it does not prevent extravasation.
Choice C rationale
Monitoring the client’s intravenous site hourly during the treatment is a key action to reduce the risk of vesicant extravasation. Regular monitoring allows for early detection of any signs of extravasation, such as swelling or redness at the IV site.
Choice D rationale
Administering an antiemetic before starting the chemotherapy can help manage side effects such as nausea and vomiting, but it does not reduce the risk of vesicant extravasation.

A. Antibiotics take two weeks to become effective against infections such as athlete’s foot. B. Continue using the ointment for a full week, even after the symptoms disappear. C. Applying too much ointment can deter its effectiveness. Apply a thin layer to prevent maceration. D. Stop using the ointment and encourage complete drying of feet and wearing clean socks.

Correct Answer is D

Explanation

Choice A rationale
Antibiotics are typically used to treat bacterial infections, not fungal infections like athlete’s foot. Therefore, using antibiotics would not be effective in this case.
Choice B rationale
While it’s important to use treatments for the full recommended duration to ensure the infection is completely eradicated, using an antibiotic ointment for a fungal infection like athlete’s foot would not be effective.
Choice C rationale
While it’s true that applying too much ointment can deter its effectiveness, the main issue here is that an antibiotic ointment is not the correct treatment for a fungal infection like athlete’s foot.
Choice D rationale
Athlete’s foot is a fungal infection that thrives in warm, moist environments. Therefore, keeping the feet dry and clean is an important part of managing and preventing athlete’s foot. This includes wearing clean socks and allowing the feet to dry completely before putting on shoes.

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The nurse is caring for a patient with chronic pancreatitis who reports persistent gnawing abdominal pain. What assessment data is most important for the nurse to obtain to help manage the patient’s pain?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which action should the nurse implement to reduce the risk of vesicant extravasation in the client who is receiving intravenous chemotherapy?

Correct Answer is C

Explanation

The parent of an adolescent tells the clinic nurse, “My child has athlete’s foot. I have been applying triple antibiotic ointment for two days, but there has been no improvement.”. Which instruction should the nurse provide?

Correct Answer is D

Explanation

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