A nurse is caring for a client who has acute pancreatitis. After treating the client’s pain, which of the following should the nurse address as the priority intervention?

Choice A reason:

White bread is generally low in fiber and easy to digest, making it less likely to cause symptoms of dumping syndrome. While whole grains are typically healthier, in the case of dumping syndrome, low-fiber foods like white bread can be better tolerated.

Choice B reason:

Fresh apples should be avoided because they are high in fiber and can be difficult to digest, potentially exacerbating symptoms of dumping syndrome. The high fiber content can lead to rapid gastric emptying and increased symptoms such as cramping, bloating, and diarrhea.

Choice C reason:

Poached eggs are a good source of protein and are generally well-tolerated by individuals with dumping syndrome. They are easy to digest and do not contribute to rapid gastric emptying, making them a suitable food choice.

Choice A reason: A client who had a stroke and is to be admitted

Assigning a client who had a stroke and is to be admitted might not be the best choice for an RN floated from the maternal-newborn unit. Stroke patients often require specialized neurological assessments and interventions that the RN might not be familiar with. Additionally, the initial admission process can be complex and time-consuming, requiring familiarity with the specific protocols and procedures of the medical-surgical unit.

Choice B reason: A client who is one-day postoperative following a total abdominal hysterectomy

This is the most appropriate assignment for the RN floated from the maternal-newborn unit. The RN is likely to be familiar with postoperative care, especially related to abdominal surgeries, given their experience in the maternal-newborn unit. Postoperative care involves monitoring vital signs, managing pain, and ensuring proper wound care, all of which are within the RN’s skill set. This familiarity can help ensure the client receives competent and safe care.

Choice C reason: A client who has acute pancreatitis

Acute pancreatitis can be a complex condition requiring specialized knowledge of gastrointestinal issues and potential complications such as fluid and electrolyte imbalances, respiratory issues, and severe pain management. The RN from the maternal-newborn unit may not have the specific expertise needed to manage these complexities effectively.

Choice D reason: A client who has terminal end-stage renal disease

Caring for a client with terminal end-stage renal disease involves managing complex chronic conditions, including fluid balance, electrolyte management, and possibly dialysis. This requires specialized knowledge and skills that the RN from the maternal-newborn unit might not possess. Additionally, end-of-life care requires a specific set of competencies and experience that might not be within the RN’s usual scope of practice.