A patient has been diagnosed with acute pancreatitis. The nurse is addressing the diagnosis of Acute Pain Related to Pancreatitis. What pharmacologic intervention is most likely to be ordered for this patient?

IV hydromorphone (Dilaudid)

Oral naproxen (Aleve)

IM meperidine (Demerol)

Oral oxycodone

Answer and Explanation

The Correct Answer is A

Choice A reason:

IV hydromorphone is an opioid analgesic that can provide effective pain relief and can be titrated to the patient's needs. It's commonly used for severe pain associated with conditions like acute pancreatitis.

Choice B reason:

Oral naproxen is a nonsteroidal anti-inflammatory drug (NSAID) that may be used for pain relief, but it's not the first-line treatment for acute pancreatitis. NSAIDs can potentially worsen the condition due to their effects on the gastrointestinal tract.

Choice C reason:

IM meperidine is an opioid analgesic that can be used for pain relief. However, in severe cases of acute pancreatitis, IV opioids are often preferred for more immediate and precise pain control.

Choice D reason:

Oral oxycodone is another opioid analgesic. However, in cases of acute pancreatitis, especially when pain is severe, IV opioids are often the preferred route of administration for more rapid and reliable pain relief.

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Correct Answer is A

Explanation

Choice A reason:

This statement is correct. The laxative helps eliminate the barium contrast material from the body after a barium swallow procedure.

Choice B reason:

Simply stating that it is protocol does not provide the client with a clear understanding of the rationale for the laxative.

Choice C reason:

This statement does not accurately explain the purpose of the laxative after a barium swallow.

Choice D reason:

The laxative's primary purpose in this context is to aid in the elimination of barium, not to prevent magnesium absorption.

A. Chronic gastritis B. Atelectasis C. Pneumonia D. Malignant hyperthermia E. Metabolic imbalances

Correct Answer is ["B","C","E"]

Explanation

Choice A reason:

Chronic gastritis is not a common immediate postoperative complication of gastric surgery. It is more related to long-term gastric health.

Choice B reason:

Correct. Atelectasis, or partial lung collapse, is a potential complication postoperatively, especially in abdominal surgery. The nurse should assess for signs such as decreased breath sounds and reduced oxygen saturation.

Choice C reason:

Correct. Pneumonia is a potential complication due to reduced lung function and shallow breathing after surgery. The nurse should monitor for signs like fever, increased respiratory rate, and abnormal breath sounds.

Choice D reason:

Malignant hyperthermia is a rare complication related to certain types of anesthesia agents. It is not a common complication after gastric surgery

Choice E reason:

Correct. Metabolic imbalances, such as electrolyte disturbances or changes in blood glucose levels, can occur after gastric surgery. The nurse should monitor for signs like weakness, confusion, and abnormal laboratory values.

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A patient has been diagnosed with acute pancreatitis. The nurse is addressing the diagnosis of Acute Pain Related to Pancreatitis. What pharmacologic intervention is most likely to be ordered for this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is scheduled for a barium swallow asks the nurse why a laxative is necessary following the procedure. Which of the following responses should the nurse make?

Correct Answer is A

Explanation

A nurse is providing care for a patient who is postoperative day 2 following gastric surgery. The nurse's assessment should be planned in light of the possibility of what potential complications? Select all that apply.

Correct Answer is ["B","C","E"]

Explanation

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