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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
Choice A reason: Fluid restriction doesn’t address hyperkalemia (6.4 mEq/L); it may concentrate potassium further, worsening the condition, as it’s unrelated to potassium excretion or shifting in this scenario.
Choice B reason: Neomycin, an antibiotic, reduces gut bacteria but isn’t used for hyperkalemia. It has no direct effect on potassium levels, making it irrelevant for this lab finding.
Choice C reason: Kayexalate binds potassium in the gut, facilitating its fecal excretion, effectively lowering serum levels (6.4 mEq/L) in hyperkalemia, aligning with urgent correction needs here.
Choice D reason: Sodium chloride and furosemide dilute and excrete potassium via urine, but Kayexalate is preferred for rapid gut-based removal when potassium is critically high (6.4 mEq/L).
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.