The nurse is caring for a client who is recovering from acute pancreatitis. The client asks the nurse when they can begin eating again. Which response by the nurse is most accurate?

When your pain is controlled and your serum amylase level decreases

When you have active bowel sounds and are passing flatus

As soon as you start to feel hungry you can begin eating

Oral intake can be started when you are more active

Answer and Explanation

The Correct Answer is B

Choice A reason: Pain control and lower amylase help, but resuming eating depends on gut function (bowel sounds, flatus), not just lab or pain status.

Choice B reason: Active bowel sounds and flatus indicate gut recovery post-pancreatitis, signaling readiness for oral intake, the most accurate marker for feeding resumption.

Choice C reason: Hunger isn’t a reliable indicator; eating too soon risks pancreatitis worsening if the gut isn’t ready, despite pain or amylase levels.

Choice D reason: Activity level doesn’t assess gut function; eating hinges on bowel recovery (sounds, flatus), not mobility, making this less precise.

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Correct Answer is B

Explanation

Choice A reason: Prednisolone reduces inflammation and thyroid hormone production in thyroid storm, stabilizing metabolism, a standard adjunct, so this order is appropriate.

Choice B reason: Aspirin displaces thyroid hormone from proteins, worsening hyperthyroidism in thyroid storm, risking increased T3/T4 effects, so it’s contraindicated and questionable.

Choice C reason: Diazepam controls agitation and seizures in thyroid storm’s hypermetabolic state, calming the nervous system, making it a suitable order here.

Choice D reason: Metoprolol blocks beta-adrenergic effects, slowing heart rate in thyroid storm’s tachycardia, a critical intervention, so this order is clinically sound.

A. She has stopped speaking to all of us B. She has difficulty using her toothbrush and comb C. She seems forgetful and takes longer to do daily tasks D. She has lost control of her bladder and bowel

Correct Answer is C

Explanation

Choice A reason: Stopping speech entirely suggests advanced Alzheimer’s or aphasia, not mild, where memory and task performance decline first, not communication fully.

Choice B reason: Difficulty with toothbrush and comb indicates moderate Alzheimer’s, where motor apraxia emerges, beyond mild stage’s primary memory issues.

Choice C reason: Forgetfulness and slower task completion reflect mild Alzheimer’s early memory loss and executive dysfunction, impairing planning, consistent with initial stages.

Choice D reason: Bladder and bowel incontinence occur in late Alzheimer’s from severe brain damage, not mild, where cognitive, not physical, decline predominates.

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The nurse is caring for a client who is recovering from acute pancreatitis. The client asks the nurse when they can begin eating again. Which response by the nurse is most accurate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is C

Explanation

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