A client diagnosed with pancreatitis reports severe epigastric pain. After administering a narcotic analgesic, the client insists on Tip sitting up and leaning forward. Which action should the nurse implement?
Provide a bedside table for client to lean across.
Place bed in the reverse Trendelenburg position.
Encourage bed rest until analgesic takes effect.
Raise the head of the bed to a 90 degree angle.
The Correct Answer is A
A. Provide a bedside table for the client to lean across. Clients with acute pancreatitis often experience severe epigastric pain that radiates to the back. Leaning forward helps reduce pressure on the inflamed pancreas and relieves pain by minimizing peritoneal irritation. Providing a bedside table allows the client to rest in a comfortable, supported position, improving pain management without additional interventions.
B. Place bed in the reverse Trendelenburg position. Reverse Trendelenburg elevates the head and lowers the feet, which does not specifically relieve pain associated with pancreatitis. The client instinctively leans forward for relief, and adjusting the bed position would not provide the same benefit. This intervention does not directly address the underlying cause of discomfort.
C. Encourage bed rest until analgesic takes effect. Although pain control is essential, keeping the client in a supine or bedrest position can increase abdominal pressure and worsen discomfort. Allowing the client to assume a comfortable position enhances the effectiveness of analgesics and prevents unnecessary distress. Pain relief strategies should focus on both pharmacologic and positioning interventions.
D. Raise the head of the bed to a 90-degree angle. Elevating the head of the bed can improve breathing and reduce reflux, but it does not provide the same pressure relief as leaning forward. Sitting upright without forward support does not effectively relieve peritoneal irritation from pancreatic inflammation. Providing a bedside table supports proper positioning and enhances comfort.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Turn off the pacemaker. Turning off the pacemaker is not appropriate because the client has a third-degree heart block, which means their heart is not conducting impulses properly. Disabling the pacemaker could lead to severe bradycardia or asystole. The goal is to troubleshoot the issue rather than stopping pacing altogether.
B. Check the sensitivity control. Loss of sensing means the pacemaker is not detecting the client's intrinsic heart activity, which can lead to inappropriate pacing or failure to respond to the heart’s natural rhythm. Adjusting the sensitivity setting ensures that the pacemaker can recognize the client's heartbeats and pace appropriately. This is the first step in troubleshooting pacemaker malfunctions related to sensing issues.
C. Increase the milliamps (mA). Increasing the milliamps (mA) is used when there is failure to capture, meaning the pacemaker is delivering impulses but the heart is not responding. Since the problem here is failure to sense, adjusting the sensitivity setting is the correct first action.
D. Position the client on the left side. Repositioning the client is sometimes recommended for displacement of a transvenous pacemaker lead, but in this case, the issue is sensing failure, not lead displacement. Checking and adjusting the pacemaker settings is a more appropriate first step before considering repositioning.
Correct Answer is D
Explanation
A. Administer furosemide IV over ten minutes. While slow IV administration is recommended to prevent ototoxicity, the priority concern is that milrinone and furosemide are incompatible when administered in the same IV line. The nurse must first ensure separate IV access before considering the administration rate.
B. Notify the healthcare provider (HCP) of the incompatibility of the two drugs. The nurse does not need to notify the HCP but should instead use a separate IV line or flush the line thoroughly before and after administration if only one access is available. Milrinone and furosemide should never be mixed, as their combination can cause precipitation, leading to catheter occlusion or embolization.
C. Infuse furosemide through a central line to prevent extravasation. Furosemide can be given peripherally or centrally, but the concern here is drug incompatibility, not extravasation. Furosemide is not a vesicant, so central line administration is not required unless no peripheral access is available.
D. Give furosemide through a separate IV access. Milrinone is incompatible with furosemide due to pH differences, which can lead to precipitation and potential catheter occlusion. To ensure safe administration, furosemide should be given through a separate IV line or, if no secondary access is available, the line should be flushed thoroughly before and after administration.
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