Assessment findings of a client presenting to the emergency room include cramping pain in the left lower quadrant, weakness, bloating high-pitched bowel sounds, and a low grade fever. Which of the following orders would the nurse anticipate?

High fiber, low protein diet

Prednisone to decrease inflammation

Nasogastric tube to low intermittent suction

Increase with meals and snacks

Answer and Explanation

The Correct Answer is C

A. High fiber, low protein diet: A high-fiber diet is contraindicated during an acute episode of diverticulitis because it can exacerbate inflammation. Instead, a low-residue or clear-liquid diet is recommended.

B. Prednisone to decrease inflammation: While corticosteroids like prednisone are used for inflammatory conditions like IBD, they are not the first-line treatment for diverticulitis. Antibiotics and bowel rest are preferred.

C. Nasogastric tube to low intermittent suction: An NG tube is used to decompress the stomach and relieve bowel obstruction symptoms, such as bloating and cramping. This is appropriate if an obstruction is suspected.

D. Increase with meals and snacks: Increasing food intake is not recommended during an acute episode of diverticulitis. The client is typically placed on bowel rest or a clear liquid diet.

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Correct Answer is ["45"]

Explanation

30g x 10g ×15ml=45ml

A. The client most likely has a diagnosis of pancreatic cancer." B. "I will carefully assess the newly formed ileostomy stoma every four hours" C. "Following this procedure, the client is at a higher risk for developing malabsorption issues.” D. "The recovery time after a Whipple procedure is long.”

Correct Answer is ["A","C","D"]

Explanation

A. "The client most likely has a diagnosis of pancreatic cancer." The Whipple procedure is primarily performed for pancreatic cancer, particularly in the head of the pancreas.

B. "I will carefully assess the newly formed ileostomy stoma every four hours." The Whipple procedure does not involve creating an ileostomy. It involves removal of the pancreas head, duodenum, gallbladder, and bile duct, with digestive tract reconstruction.

C. "Following this procedure, the client is at a higher risk for developing malabsorption issues." Since a portion of the pancreas is removed, clients may experience malabsorption and pancreatic enzyme insufficiency, leading to steatorrhea and nutrient deficiencies.

D. "The recovery time after a Whipple procedure is long." The Whipple procedure is major surgery with a prolonged recovery period due to the complexity of digestive system reconstruction and the risk of complications like delayed gastric emptying and anastomotic leakage.

E. "With this procedure completed, the client's prognosis is good." Pancreatic cancer has a poor prognosis even after a Whipple procedure. Survival rates remain low, and recurrence is common.

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Assessment findings of a client presenting to the emergency room include cramping pain in the left lower quadrant, weakness, bloating high-pitched bowel sounds, and a low grade fever. Which of the following orders would the nurse anticipate?

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Naxlex Comprehensive Predictor Exams

The nurse is to administer 30gm of lactulose to a client. The medication is supplied as 10gm/15ml. How many mL would you give to the client.

Correct Answer is ["45"]

Explanation

The nurse and the orientee are receiving a client from the Post Anesthesia Care Unit (PACU) following a Pancreaticoduodenectomy (Whipple) procedure What statements by the orientee indicate that teaching has been effective regarding this type of patient? (Select All that Apply

Correct Answer is ["A","C","D"]

Explanation

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