A nurse is contributing to the care plan for a patient who has acute pancreatitis.
Which of the following interventions should the nurse include?
Monitor peripheral pulses every 8 hours
Measure urine output every 4 hours
Maintain NPO status
Ambulate the patient three times daily
The Correct Answer is C
Choice A rationale
Monitoring peripheral pulses every 8 hours is not typically a priority in the care plan for a patient with acute pancreatitis. While cardiovascular monitoring is important in all patients, it is not specifically related to the management of acute pancreatitis.
Choice B rationale
Measuring urine output every 4 hours can be important in assessing fluid balance and kidney function, but it is not the primary intervention in the care plan for a patient with acute pancreatitis.
Choice C rationale
Maintaining NPO (nothing by mouth) status is a key intervention in the management of acute pancreatitis. This helps to rest the pancreas and reduce the production of digestive enzymes.
Choice D rationale
Ambulating the patient three times daily is generally a good practice for postoperative recovery, but it is not specific to the care of a patient with acute pancreatitis. In the acute phase of pancreatitis, rest is often recommended.
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Related Questions
Correct Answer is A
Explanation
Choice A rationale
Regular use of nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, is a risk factor for peptic ulcers. These medications can irritate the stomach lining and increase the risk of ulcers.
Choice B rationale
Drinking green tea is not typically associated with an increased risk of peptic ulcers.
Choice C rationale
Consuming spicy foods can exacerbate the symptoms of a peptic ulcer, but it is not a primary risk factor for the development of the condition.
Choice D rationale
A history of bulimia can contribute to a variety of health problems, but it is not a primary risk factor for peptic ulcers. Dumping syndromeDumping syndrome Explore
Correct Answer is A
Explanation
Choice A rationale
Jaundice, a common symptom of cholecystitis, is a yellow discoloration of the skin and whites of the eyes (sclera) caused by an excess of bilirubin in the blood. The sclera is often the first place where jaundice is noticeable because the high amount of elastin in the sclera binds to bilirubin, causing a yellowish discoloration.
Choice B rationale
While nail beds can sometimes show signs of certain health issues, they are not typically used to monitor for the presence of jaundice. Jaundice primarily causes yellowing of the skin and the whites of the eyes.
Choice C rationale
The periumbilical area (around the belly button) is not typically used to monitor for the presence of jaundice. Jaundice primarily causes yellowing of the skin and the whites of the eyes.
Choice D rationale
The webbed areas of the fingers are not typically used to monitor for the presence of jaundice. Jaundice primarily causes yellowing of the skin and the whites of the eyes.
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