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

Answer and Explanation

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.

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Correct Answer is ["C","D","E"]

Explanation

A. Increase hematocrit: Fluid overload typically leads to hemodilution, resulting in a decrease in hematocrit rather than an increase. Therefore, an increase in hematocrit would not be expected in a client with fluid overload.
B. Increased temperature: Fluid overload is not typically associated with an increased body temperature. Instead, fever may indicate an infection or another underlying cause. Therefore, an increased temperature would not be a typical finding in a client with fluid overload.
C. Increased heart rate: Fluid overload can lead to an increased heart rate as the body attempts to maintain adequate cardiac output in the presence of excess fluid volume. An elevated heart rate is a compensatory mechanism to maintain tissue perfusion despite the increased workload on the heart.
D. Increased respiratory rate: Fluid overload can cause pulmonary congestion, leading to increased respiratory effort and a higher respiratory rate as the body attempts to compensate for decreased gas exchange efficiency. An increased respiratory rate helps to improve oxygenation and remove excess carbon dioxide from the body.
E. Increased blood pressure: Fluid overload often leads to increased blood pressure due to the increased volume of circulating blood, which can strain the cardiovascular system. Elevated blood pressure is a common manifestation of fluid overload and reflects the increased workload on the heart and blood vessels.

A. "If you don't do your share of the work, I will have to inform the nurse manager" B. "Several staff members have commented that you don't do your fair share of the work." C. "I need to talk to you about unit expectations regarding delegating and completing tasks." D. "You have been very inconsiderate of others by not completing your share of the work."

Correct Answer is C

Explanation

A. "If you don't do your share of the work, I will have to inform the nurse manager"
This statement uses a threatening tone and may escalate the conflict. It does not promote open communication or collaboration to resolve the issue. Additionally, threatening to inform the nurse manager immediately can create a hostile work environment.
B. "Several staff members have commented that you don't do your fair share of the work."
While it's important to address concerns, singling out the staff nurse in front of others may cause embarrassment and defensiveness. It's better to address the issue privately to avoid further conflict and maintain professionalism.
C. "I need to talk to you about unit expectations regarding delegating and completing tasks."
This statement acknowledges the need for a discussion about unit expectations regarding delegating and completing tasks. By expressing the intention to have a conversation, it opens the door for dialogue and collaboration between the charge nurse and the staff nurse. This approach promotes a supportive and constructive environment for resolving conflicts and addressing concerns.
D. "You have been very inconsiderate of others by not completing your share of the work."
This statement is accusatory and confrontational, which can lead to defensiveness and resistance from the staff nurse. It does not facilitate effective communication or problem-solving. Constructive dialogue is essential for addressing conflicts and finding mutually beneficial solutions.

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A nurse is admitting a client who has acute pancreatitis. Which of the following provider prescriptions should the nurse anticipate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect? (Select all that apply.)

Correct Answer is ["C","D","E"]

Explanation

A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel (AP) and the nurses on next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements should the charge nurse make to resolve this conflict?

Correct Answer is C

Explanation

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