When planning care for a client receiving an enteral feeding via jejunostomy tube, which intervention would the nurse include?

Monitor for hypertension

Measure residual every 24 hours

Check stools for diarrhea

Check blood glucose every 12 hours

Answer and Explanation

The Correct Answer is C

A)   Monitoring for hypertension is not directly related to caring for a client with enteral feeding via a jejunostomy tube.
B)   Measuring residual volume is a nursing intervention for clients with gastric feeding tubes, not jejunostomy tubes.
C)   Diarrhea is a potential complication of enteral feeding, and monitoring stool output is essential to assess for this complication and adjust feeding accordingly.
D)   Monitoring blood glucose levels is important for clients with diabetes but is not specific to caring for a client with enteral feeding via a jejunostomy tube.

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Correct Answer is C

Explanation

A) Pancrelipase may be prescribed to aid in digestion in chronic pancreatitis but is not typically used in the acute phase.
B) While ambulation may be encouraged as tolerated, it is not a specific prescription for acute pancreatitis.
C) Pantoprazole, a proton pump inhibitor, is often prescribed in acute pancreatitis to reduce gastric acid secretion, thereby reducing pancreatic stimulation and promoting healing.
D) In acute pancreatitis, dietary intake is typically restricted initially, often starting with nothing by mouth (NPO) and progressing to a clear liquid diet as tolerated; a low-residue diet is usually introduced at a later stage.

A. WBC 10,000/mm3 (5,000-10,000 mm3) B. Serum potassium 3.5 mEq/L (3.5-5.0 mEq/L) C. Serum albumin 4.8 g/dL (3.5-5 g/dL) D. Lipase 900 u/L (20-180 u/L)

Correct Answer is D

Explanation

A) While an elevated WBC count may indicate infection, it is not unexpected in acute pancreatitis.
B) Serum potassium within normal range does not require immediate intervention.

C) Serum albumin within normal range does not require immediate intervention.

D) Lipase levels significantly elevated above the normal range indicate ongoing pancreatic inflammation and may require intervention or adjustment of treatment.

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When planning care for a client receiving an enteral feeding via jejunostomy tube, which intervention would the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who has acute pancreatitis. Which of the following provider prescriptions should the nurse anticipate?

Correct Answer is C

Explanation

Correct Answer is D

Explanation

A client with cirrhosis is scheduled to receive a third dose of lactulose (Cephulac) at 1800. Which current finding would cause the nurse to question administering this medication?

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Which question would the nurse ask to identify a risk factor for liver disease?

The nurse is making a home visit to a client with chronic pancreatitis. Which data is consistent with this diagnosis?

The nurse is providing care to a client admitted with chronic pancreatitis. Which items are appropriate to include in the discharge teaching for this client? Select all that apply.

When planning care for a client with acute pancreatitis, which order would the nurse anticipate that will contribute to pain control?

The nurse is collecting a health history of a client admitted for possible acute pancreatitis. Which health history item would increase the client's risk for this diagnosis?