A client with acute pancreatitis comes in with severe abdominal pain. The doctor orders NPO and an NG-tube. The nurse knows that NPO status and nasogastric tube patency will help treat pancreatitis by: (Select all that apply)
Nasogastric suction reduces intestinal distention.
Elimination of oral intake and gastric suction reduces gastric secretion.
NPO and NGT will help monitor intake and output.
Nasogastric decompression helps alleviate nausea and vomiting.
Reduction of gastric secretions that stimulate pancreatic enzymes.
Correct Answer : A,B,D,E
Choice A reason: Nasogastric suction reduces intestinal distention, which can help alleviate abdominal pressure and pain.
Choice B reason: Eliminating oral intake and gastric suction reduces gastric secretion, decreasing stimulation of the pancreas.
Choice C reason: Monitoring intake and output is important but not a direct treatment for pancreatitis.
Choice D reason: Nasogastric decompression helps alleviate nausea and vomiting, which are common symptoms of pancreatitis.
Choice E reason: Reduction of gastric secretions that stimulate pancreatic enzymes directly addresses the cause of pancreatitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Stopping the transfusion immediately is the first and most critical action in response to signs of a possible transfusion reaction, which can be life-threatening.
Choice B reason: While informing the provider is a necessary step, it should come after stopping the transfusion to prevent further harm to the patient.
Choice C reason: Calling the lab is an appropriate action but not the first priority. The immediate concern is the patient's safety.
Choice D reason: Obtaining a urine specimen may be part of the diagnostic process for a transfusion reaction, but it is not the first action to take.
Correct Answer is B
Explanation
Choice A reason : Maintenance chemotherapy is not typically used to maintain remission in Hodgkin's lymphoma after successful treatment.
Choice B reason : Follow-up appointments are crucial for monitoring any signs of recurrence or secondary malignancies, as well as managing long-term effects of treatment.
Choice C reason : The potential impact of chemotherapy on fertility is an important topic, especially for younger patients, but may not be as relevant for a 55-year-old woman.
Choice D reason : Addressing symptoms like pruritus, which can persist after treatment, is important for patient comfort and quality of life.
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