In planning the care for a patient with acute pancreatitis, the nurse should make which of these goals the highest?

Effective pain management.

Decrease patient anxiety.

Adequate hydration achieved.

Decrease potassium intake.

Answer and Explanation

The Correct Answer is A

Choice A reason: Effective pain management is the highest priority in the care of a patient with acute pancreatitis. Severe abdominal pain is a hallmark of acute pancreatitis and can significantly impact the patient's comfort and ability to participate in other aspects of their care. Managing pain effectively helps improve the patient's overall well-being and allows for better participation in treatments and recovery.

Choice B reason: Decreasing patient anxiety is important, but it is not the primary goal in the acute management of pancreatitis. Addressing anxiety can help improve the patient's experience and adherence to treatment, but managing pain and hydration are more critical in the immediate care.

Choice C reason: Adequate hydration is crucial in the management of acute pancreatitis, as dehydration can worsen the condition and lead to complications. However, pain management takes precedence because uncontrolled pain can lead to further stress and complications, hindering the effectiveness of hydration and other treatments.

Choice D reason: Decreasing potassium intake is not a primary goal in the management of acute pancreatitis. While electrolyte balance is important, there is no direct indication that potassium levels need to be specifically managed unless there is a documented imbalance. The focus should be on pain management and hydration.

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Correct Answer is B

Explanation

Choice A reason: Increasing the rate of IV fluid administration is not the priority action in this situation. Although maintaining adequate fluid levels is important for patients with traumatic brain injuries, the symptoms described (pulse change, increased pulse pressure, and respiratory irregularities) indicate that the patient may be experiencing increased intracranial pressure (ICP). Fluid administration alone will not address this issue and could potentially worsen the condition if not managed carefully.

Choice B reason: The priority action is to notify the provider immediately. The changes in vital signs (decreased pulse, increased pulse pressure, and respiratory irregularities) suggest that the patient may be experiencing increased intracranial pressure (ICP), which is a medical emergency. Immediate notification of the provider is essential for timely intervention to prevent further neurological damage or complications.

Choice C reason: Preparing to give IV pain medication is not the priority in this situation. While managing pain is important, the patient's vital sign changes indicate a more serious underlying issue (potential increased intracranial pressure) that requires immediate medical attention. Pain medication alone will not address the root cause of the symptoms.

Choice D reason: Notifying respiratory therapy for a breathing treatment is not the priority action in this scenario. Although respiratory irregularities are present, the vital sign changes suggest that the patient is experiencing increased intracranial pressure. This requires immediate medical intervention by the provider to manage the underlying condition, rather than solely focusing on respiratory support.

A. Low-protein, high-potassium. B. High-calcium, high-potassium, high-protein. C. High-carbohydrate, high-protein. D. Low-protein, low-sodium, low-potassium.

Correct Answer is D

Explanation

Choice A reason: A low-protein diet can be beneficial in reducing the workload on the kidneys by decreasing the production of waste products that need to be excreted. However, high-potassium intake is not recommended for CKD patients because their kidneys may not efficiently excrete potassium, leading to hyperkalemia, which can be dangerous.

Choice B reason: A diet high in calcium, potassium, and protein is not suitable for CKD patients. Excessive protein can increase the production of waste products, calcium intake needs to be monitored to avoid complications like calcification, and high potassium levels can lead to hyperkalemia. This combination could potentially worsen the patient's condition.

Choice C reason: A high-carbohydrate, high-protein diet is not ideal for CKD patients. While carbohydrates can provide energy, high protein intake increases the load on the kidneys. The goal is to reduce the production of waste products that the kidneys need to filter, so a high-protein diet is counterproductive.

Choice D reason: A low-protein, low-sodium, low-potassium diet is most appropriate for CKD patients. Reducing protein intake decreases the production of waste products, low sodium helps control blood pressure and fluid balance, and low potassium prevents hyperkalemia. This diet helps manage the symptoms and progression of CKD more effectively.

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In planning the care for a patient with acute pancreatitis, the nurse should make which of these goals the highest?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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