A nurse is contributing to the plan of care for a client who has acute pancreatitis. Which of the following interventions should the nurse include?
Monitor peripheral pulses every 8 hr.
Ambulate the client three times daily.
Maintain NPO status.
Measure urine output every 4 hr.
The Correct Answer is C
Choice A rationale
Monitoring peripheral pulses every 8 hours is not a specific intervention for a client who has acute pancreatitis. While it is important to monitor peripheral pulses as part of overall patient assessment, it does not directly address the needs of a patient with acute pancreatitis.
Choice B rationale
Ambulating the client three times daily is not a specific intervention for a client who has acute pancreatitis. While physical activity is generally beneficial for overall health, it does not directly address the needs of a patient with acute pancreatitis, especially during an acute attack.
Choice C rationale
Maintaining NPO (nothing by mouth) status is a common intervention for a client who has acute pancreatitis. This allows the pancreas to rest and recover, reducing inflammation and pain.
Choice D rationale
Measuring urine output every 4 hours is not a specific intervention for a client who has acute pancreatitis. While it is important to monitor urine output as part of overall patient assessment, it does not directly address the needs of a patient with acute pancreatitis.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Elevating the head of the bed is a recommended strategy to minimize the effects of reflux during sleep. This position uses gravity to keep stomach acid from flowing back into the esophagus.
Choice B rationale
Eating a snack 1 hour before going to bed can actually worsen reflux symptoms. It’s generally recommended to avoid eating 2-3 hours before bedtime.
Choice C rationale
Alcohol can relax the lower esophageal sphincter, making it easier for stomach acid to reflux into the esophagus. Therefore, consuming alcohol before bed is not advisable.
Choice D rationale
Sleeping on the stomach with the head flat can exacerbate reflux symptoms. This position does not utilize gravity to keep stomach acid from flowing back into the esophagus.
Correct Answer is D
Explanation
Choice A rationale
While headaches can be a side effect of many medications, they are not commonly associated with daily aspirin intake.
Choice B rationale
Muscle pain is not a common side effect of daily aspirin intake. It is more commonly associated with statins, a class of drugs used to lower cholesterol levels.
Choice C rationale
Increased appetite is not a known side effect of daily aspirin intake.
Choice D rationale
Stomach upset is a potential adverse effect of taking daily aspirin. Aspirin can irritate the stomach lining, which can lead to symptoms such as heartburn and nausea.
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