A nurse prepares to discharge a client with chronic pancreatitis. Which question should the nurse ask to ensure safety upon discharge?

"Can you check your own pulse rate?"

"Do you have any alcohol in your home?"

"Do you have a one- or two-story home?"

"Can you prepare your own meals?"

Answer and Explanation

The Correct Answer is B

Rationale:

A. While monitoring vital signs can be part of self-care, it is not directly related to safety in chronic pancreatitis. The primary risk involves exacerbation of the disease rather than cardiovascular monitoring at home.

B. Chronic pancreatitis is exacerbated by alcohol use, which can trigger severe pain, further pancreatic injury, and complications such as malabsorption or diabetes. Ensuring that the client has removed alcohol from the home environment is a critical safety measure to prevent relapse and reduce the risk of readmission.

C. This question is more relevant to mobility or fall risk assessment, which is not a primary safety concern for chronic pancreatitis discharge.

D. While nutrition is important for chronic pancreatitis management, asking this question addresses independence and dietary adherence, not immediate safety. It is secondary to ensuring alcohol avoidance and preventing disease exacerbation.

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Free Nursing Study Resources

Correct Answer is ["45"]

Explanation

Step 1: Convert grams to milligrams
2 grams = 2,000 mg

Step 2: Determine the concentration
2,000 mg in 500 mL
Concentration = 2,000 ÷ 500
Concentration = 4 mg/mL

Step 3: Convert mg/min to mg/hr
3 mg/min × 60 min/hr = 180 mg/hr

Step 4: Calculate mL/hr
mL/hr = Dose (mg/hr) ÷ Concentration (mg/mL)
mL/hr = 180 ÷ 4
mL/hr = 45

Step 5: Round to the nearest whole number
45 = 45 mL/hr

Final Answer: 45 mL/hr

A. serum hepatitis antibodies B. complete blood count with platelets C. serum ammonia levels D. coagulation studies E. serum albumin

Correct Answer is ["B","D"]

Explanation

Rationale:

A. While hepatitis can cause liver injury, antibodies do not provide information about current clotting ability or bleeding risk. They indicate past exposure or immunity, not active coagulopathy.

B. Platelets are critical for primary hemostasis, and clients with liver cirrhosis often develop thrombocytopenia due to splenic sequestration or decreased production of thrombopoietin. Low platelet counts increase the risk of bruising and bleeding, which correlates with the observed ecchymoses.

C. Elevated ammonia is associated with hepatic encephalopathy, not directly with bleeding or bruising. Monitoring ammonia is important for neurological status but not for coagulation.

D. Liver cirrhosis impairs the synthesis of clotting factors, leading to prolonged PT, INR, and aPTT. Ecchymosis may indicate coagulopathy, so monitoring coagulation studies helps assess the severity of the bleeding risk.

E. Albumin reflects synthetic liver function and nutritional status, but low albumin itself does not directly cause bruising. While hypoalbuminemia may indicate advanced liver disease, it does not provide immediate information about bleeding risk.

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A nurse prepares to discharge a client with chronic pancreatitis. Which question should the nurse ask to ensure safety upon discharge?

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Naxlex Comprehensive Predictor Exams

The nurse prepares to administer a lidocaine infusion to deliver 3 mg/min. The solution available contains 2 grams of lidocaine in 500 mL of 5% dextrose. How many mL/hr should the nurse set the IV pump? Round to a whole number.

Correct Answer is ["45"]

Explanation

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Correct Answer is ["B","D"]

Explanation

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