A nurse is admitting a client who has acute pancreatitis. Which of the following provider prescriptions should the nurse anticipate?
Pancrelipase 500 units/kg PO three times daily with meals
Pantoprazole 80 mg IV bolus twice daily
Initiate a low-residue diet
D Ambulate twice day
The Correct Answer is B
A. Pancrelipase 500 units/kg PO three times daily with meals: Pancrelipase is an enzyme replacement therapy used to aid in the digestion of fats, proteins, and carbohydrates in clients with pancreatic insufficiency. However, in acute pancreatitis, the pancreas is inflamed and typically unable to produce sufficient enzymes. Therefore, enzyme replacement therapy is not typically initiated during the acute phase of pancreatitis.
B. Pantoprazole 80 mg IV bolus twice daily: This is the correct answer. Pantoprazole is a proton pump inhibitor (PPI) that reduces gastric acid secretion. It is commonly prescribed in acute pancreatitis to decrease gastric acid production and reduce pancreatic enzyme activity, thereby promoting pancreatic rest and reducing further pancreatic inflammation and injury.
C. Initiate a low-residue diet: In acute pancreatitis, clients are typically kept NPO (nothing by mouth) initially to allow the pancreas to rest and inflammation to decrease. Once oral intake is resumed, a low-fat, easily digestible diet is usually recommended. However, the initiation of a low-residue diet is not typically indicated during the acute phase of pancreatitis.
D. Ambulate twice daily: While early ambulation is generally encouraged in hospitalized clients to prevent complications such as deep vein thrombosis and pneumonia, ambulation may be limited initially in clients with acute pancreatitis due to pain and discomfort. Ambulation is not typically a priority during the acute phase of pancreatitis; instead, pain management and supportive care are emphasized.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Rotate assignment of daily caregivers: Consistency in caregivers is important for individuals with Alzheimer's disease to build trust and rapport. Rotating caregivers frequently may disrupt the client's routine and lead to increased confusion and anxiety.
B. Provide an activity schedule that changes from day to day: Consistency and routine are beneficial for individuals with Alzheimer's disease as they provide structure and predictability. A consistent activity schedule helps the client feel more secure and can reduce agitation and behavioral issues.
C. Limit time for the client to perform activities: While it may be necessary to pace activities based on the client's abilities and fatigue level, arbitrarily limiting time for the client to perform activities can be counterproductive. Instead, individualizing the pace of activities based on the client's preferences and abilities is more beneficial.
D. Talk the client through tasks one step at a time: Individuals with Alzheimer's disease often experience cognitive impairment, including difficulty with memory, attention, and problem-solving. Breaking tasks down into manageable steps and providing clear, simple instructions can help the client understand and complete activities of daily living more effectively. This intervention supports the client's independence and reduces frustration.
Correct Answer is B
Explanation
Answer: B. Non-maleficence
Rationale:
A. Utility:
The principle of utility refers to actions that maximize the overall good or benefit for the greatest number of people. In this scenario, the nurse’s refusal to share the surgeon's medical diagnosis does not directly relate to maximizing benefits, so this principle is not applicable.
B. Non-maleficence:
Non-maleficence is the ethical principle that involves the obligation to avoid causing harm to others. By not disclosing the surgeon's medical diagnosis, the nurse is protecting the surgeon's privacy and confidentiality, thereby preventing potential harm that could arise from sharing sensitive health information without consent.
C. Paternalism:
Paternalism refers to making decisions for others with the belief that it is in their best interest, often overriding their autonomy. The nurse's action of withholding information is not based on deciding what is best for the other nurse but rather on adhering to confidentiality principles.
D. Justice:
Justice in healthcare refers to fairness in the distribution of resources and treatment. The situation does not pertain to equitable treatment or allocation of resources, so this principle is not relevant in this context.
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