A nurse is planning care for a client who has a new diagnosis of acute pancreatitis. Which of the following interventions should the nurse include in the plan of care?

Place the client in a supine position.

Administer antihypertensive medications.

Monitor the client for hypercalcemia.

Maintain the client on NPO status.

Answer and Explanation

The Correct Answer is D

D. NPO status is typically implemented in the initial management of acute pancreatitis to rest the pancreas and reduce pancreatic enzyme secretion, which can exacerbate inflammation and tissue damage. Nutritional support may be gradually reintroduced once the client's condition stabilizes and symptoms improve.
A. Placing the client in a supine position is not recommended for acute pancreatitis because it can exacerbate pain and discomfort.
B. The priority in acute pancreatitis is to address pain, manage complications such as fluid imbalances or infections, and support pancreatic rest.

C. Hypercalcemia can occur as a complication of acute pancreatitis due to calcium mobilization from damaged pancreatic cells. However, keeping the client NPO is priority.

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

Explanation

The client is likely suffering from diabetes ketoacidosis with metabolic acidosis not respiratory alkalosis. They are also severely dehydrated which may lead to hypotension and acute renal injury. In DKA, clients may have hyperkalemia or hypokalemia who h may predispose to cardiac dysrhythmias.

Septic shock is unlikely as the chest exam indicates likely resolved pneumonia.

Cerebral edema is commonly seen in clients on hydration therapy in DKA due to rapid fluid replacement.

A. Hypoglycemia B. Increased muscle mass C. Increased libido D. Hot flashes

Correct Answer is D

Explanation

D. Hot flashes are a common symptom following a bilateral orchiectomy due to the sudden decrease in testosterone levels. Hot flashes are characterized by sudden feelings of warmth, flushing, and sweating, often accompanied by a rapid heartbeat. These symptoms can be bothersome but are typically temporary and can be managed with lifestyle modifications and medications if necessary.
A. Hypoglycemia is not typically associated with a bilateral orchiectomy.
B. Testosterone, primarily produced by the testicles, plays a significant role in promoting muscle mass and strength. Removal of the testicles results in a significant decrease in testosterone production, which may lead to a gradual decline in muscle mass and strength over time.
C. Testosterone is a key hormone involved in regulating libido in both men and women. Removal of the testicles leads to a significant decrease in testosterone levels, which may result in a decrease in libido rather than an increase.

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A nurse is planning care for a client who has a new diagnosis of acute pancreatitis. Which of the following interventions should the nurse include in the plan of care?

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Naxlex Comprehensive Predictor Exams

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Explanation

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