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: Heparin prevents clotting during dialysis but doesn’t reduce hemoglobin or hematocrit directly. It’s not a primary cause of anemia in renal failure, unlike erythropoietin deficiency.
Choice B reason: Kidneys in chronic renal failure fail to produce erythropoietin, a hormone stimulating red blood cell production, leading to low hemoglobin and hematocrit, the key cause here.
Choice C reason: Minor blood loss occurs in dialysis, but it’s not the primary reason for chronic anemia. Erythropoietin deficiency from renal failure has a greater impact on counts.
Choice D reason: Poor protein intake affects overall health but isn’t the main driver of anemia in renal failure. Erythropoietin loss from kidney dysfunction is the dominant factor.
Correct Answer is B
Explanation
Choice A reason: pH 7.53 and low CO2 (32) indicate respiratory alkalosis from hyperventilation, not typical in chest trauma where breathing is impaired. HCO3 (24) is normal, showing no compensation yet, misaligning with trauma physiology.
Choice B reason: pH 7.30, high CO2 (52), and near-normal HCO3 (22) reflect respiratory acidosis from hypoventilation in chest trauma, like rib fractures, reducing air exchange. Compensation is minimal acutely, fitting the clinical scenario.
Choice C reason: pH 7.49 and low CO2 (30) suggest respiratory alkalosis, while low HCO3 (14) indicates metabolic compensation. This doesn’t match chest trauma’s ventilatory restriction, which elevates CO2 instead.
Choice D reason: pH 7.26, CO2 (45), and low HCO3 (18) show mixed acidosis. Chest trauma primarily causes respiratory acidosis from CO2 retention, not a significant metabolic drop acutely, making this less precise.
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