A client with pancreatitis reports severe epigastric pain, so the nurse administers a prescribed narcotic analgesic. Ten minutes later, the client insists on sitting up and leaning forward. Which intervention should the nurse implement?

Encourage rest until the analgesic becomes effective.

Position bedside table so the client can lean across it.

Raise head of bed until to a 90-degree angle.

Place bed in a reverse Trendelenburg position.

Answer and Explanation

The Correct Answer is B

Choice A reason: Encouraging rest may not relieve the pain; sitting up and leaning forward is a common position for relief in pancreatitis.

Choice B reason: Positioning the bedside table allows the client to lean forward comfortably and may help alleviate the pain.

Choice C reason: Raising the head of the bed to a 90-degree angle may not provide the same relief as leaning forward.

Choice D reason: Reverse Trendelenburg position is not specifically indicated for pancreatitis pain relief.

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Correct Answer is D

Explanation

Choice A reason: Turning every 2 hours is important for preventing pressure ulcers but is not the primary concern for a client with severe ulcerative colitis and recent surgery.

Choice B reason: Recording wound drainage is necessary but not the most critical intervention compared to fluid balance.

Choice C reason: Assessing skin condition is important but secondary to maintaining fluid balance in a critically ill client.

Choice D reason: Replacing fluids based on intake and output is crucial to manage dehydration and electrolyte imbalances, which are common in clients with severe ulcerative colitis.

A. Store at room temperature. B. Crush to increase absorption. C. Administer with a meal. D. Take before bedtime.

Correct Answer is D

Explanation

Choice A reason: Storing at room temperature is correct, but it is not the most critical information.

Choice B reason: Crushing zolpidem is not recommended as it is typically taken in its original form for proper absorption and effect.

Choice C reason: Administering with a meal is not necessary and can actually delay the onset of action.

Choice D reason: Taking zolpidem before bedtime is crucial as it is intended to aid in sleep and should be taken immediately before going to bed.

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A client with pancreatitis reports severe epigastric pain, so the nurse administers a prescribed narcotic analgesic. Ten minutes later, the client insists on sitting up and leaning forward. Which intervention should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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