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

Administer pancreatic enzymes

Maintain nasogastric tube to intermittent suction

Encourage ambulation

Provide clear liquid diet

Answer and Explanation

The Correct Answer is B

A)   Pancreatic enzymes are typically used to aid in digestion rather than pain control in acute pancreatitis.
B)   Decompression of the gastrointestinal tract through nasogastric suction can help reduce pancreatic stimulation and alleviate pain in acute pancreatitis.
C)   While ambulation may help prevent complications, it is not directly related to pain control in acute pancreatitis.
D)   A clear liquid diet may be initiated once the acute phase has resolved, but it does not directly contribute to pain control.

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Correct Answer is A

Explanation

A) Elevated serum ammonia levels can lead to hepatic encephalopathy, which affects mental status and consciousness, making this the priority assessment.
B) The PT is slightly prolonged but not alarmingly high; bleeding is less of a concern compared to the elevated ammonia.
C) This action is important in assessing fluid accumulation but is not as critical as assessing mental status in this scenario.
D) While part of a comprehensive abdominal assessment, this is not the most critical action given the elevated ammonia level.

A. Encourage short periods of ambulation. B. Administer antibiotics. C. Restrict fluids. D. Provide a diet high in fat.

Correct Answer is A

Explanation

A) Helps maintain muscle tone and promotes overall well-being without overstressing the body during recovery from hepatitis B.
B) Antibiotics are not effective against viruses like hepatitis B.

C) There is generally no need to restrict fluids in hepatitis B; adequate hydration supports overall health and liver function.

D) A high-fat diet is not recommended for liver disease; typically, a balanced, low-fat diet is more appropriate.

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

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Naxlex Comprehensive Predictor Exams

A client with cirrhosis has the following laboratory results: albumin 4.9 g/dl. (3.5-5 g/dL), PT 13 seconds (11-12.5 sec), and serum ammonia 68 mcg/dL (15-45 mcg/dL). Based on this information, what is the nurse's next action?

Correct Answer is A

Explanation

A nurse is planning care for a client who has hepatitis B. Which of the following interventions should the nurse include in the plan?

Correct Answer is A

Explanation

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The nurse is caring for a client with chronic pancreatitis who exhibits signs of malabsorption. The nurse recognizes that this is due to which pathophysiology process?

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?

The nurse is admitting a client diagnosed with ascites. Which assessment finding would the nurse anticipate?

When reviewing a client's health history, which information does the nurse identify as a risk factor for development of chronic pancreatitis?

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

The nurse notes these laboratory results for a client with cirrhosis: PT 20 seconds (11-12.5 sec) and serum ammonia 35 mcg/dL (15-45 mcg/dL). What action by the nurse would be a priority?

A client with cirrhosis has the following current assessment data: jaundice, decreased appetite, hemoglobin 15 g/dL (14-18 g/dL) and PT of 20.6 seconds (11-12.5 sec). What does the nurse identify as the priority problem for this client?