Patients with acute pancreatitis are generally made NPO (nothing by mouth) and may require gastric suctioning via NG tube, in order to:

Prevent abdominal distention.

Prevent mechanical obstruction of the intestine.

Limit pancreatic secretion.

Prevent hyperglycemia associated with loss of insulin secretion.

Answer and Explanation

The Correct Answer is C

Choice C reason: Limiting pancreatic secretion is the primary reason for making patients with acute pancreatitis NPO and using gastric suctioning. By reducing the stimulation of the pancreas, the inflammation and autodigestion of pancreatic tissue can be minimized, aiding in the healing process.
Choice A reason: Preventing abdominal distention is a secondary benefit of making patients NPO, but it is not the primary reason for this intervention in acute pancreatitis.
Choice B reason: Preventing mechanical obstruction of the intestine is not the main goal of making patients NPO in acute pancreatitis. This condition primarily affects the pancreas, not the intestines.
Choice D reason: Preventing hyperglycemia associated with loss of insulin secretion is not the primary reason for making patients NPO in acute pancreatitis. While hyperglycemia can occur in severe cases, the main focus is on reducing pancreatic stimulation.

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Correct Answer is A

Explanation

Choice A reason:
Vitamin K (phytonadione) is the antidote for warfarin overdose. It works by promoting the synthesis of clotting factors that are inhibited by warfarin, thereby reversing the anticoagulant effects. In cases of excessive warfarin intake, administering vitamin K helps restore normal clotting function.

Choice B reason:
Protamine sulfate is the antidote for heparin overdose, not warfarin. It works by neutralizing the anticoagulant effects of heparin, but it has no effect on warfarin-induced anticoagulation. Therefore, it is not appropriate for this situation.

Choice C reason:
A PTT lab test measures the effectiveness of the intrinsic pathway of coagulation and is primarily used to monitor heparin therapy. It is not relevant for managing warfarin overdose, as warfarin affects the extrinsic pathway, which is measured by the PT/INR test.

Choice D reason:
While an INR lab test is essential for monitoring the therapeutic levels of warfarin, the immediate need in this situation is to reverse the effects of the overdose. Administering vitamin K is the necessary intervention to counteract the excessive anticoagulation caused by warfarin.

A. You should maintain a healthy lifestyle and avoid high-fat foods. B. Muscle pain is not concerning with statin use. C. Statins reduce the risk of coronary events in people with diabetes and slightly elevated LDL levels. D. Statin use can cause GI side effects.

Correct Answer is B

Explanation

Choice A reason:
Maintaining a healthy lifestyle and avoiding high-fat foods is appropriate advice. Statins are more effective when combined with a healthy diet and lifestyle. This helps in managing cholesterol levels and reducing the risk of cardiovascular events.

Choice B reason:
The statement that muscle pain is not concerning with statin use is inappropriate. Muscle pain can be a significant side effect of statins, known as myopathy, and in rare cases, it can lead to a more severe condition called rhabdomyolysis. Patients experiencing muscle pain should report it to their healthcare provider for evaluation and management.

Choice C reason:
Statins do reduce the risk of coronary events in people with diabetes and slightly elevated LDL levels. This is well-documented and an appropriate part of patient education, as statins are beneficial in preventing cardiovascular events in at-risk populations.

Choice D reason:
Statin use can cause gastrointestinal (GI) side effects, including nausea, constipation, and diarrhea. This information should be part of patient education so that patients are aware of potential side effects and can manage them appropriately.

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Patients with acute pancreatitis are generally made NPO (nothing by mouth) and may require gastric suctioning via NG tube, in order to:

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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