The nurse is caring for a client with chronic pancreatitis who reports persistent gnawing abdominal pain. To help the client manage the pain, which assessment data is most important for the nurse to obtain?

Activity level of bowel sounds.

Eating patterns of dietary intake.

Level and amount of physical activity.

Color and consistency of feces.

Answer and Explanation

The Correct Answer is B

B. Dietary intake plays a significant role in the management of chronic pancreatitis pain. Certain foods, especially those high in fat, can exacerbate symptoms and trigger pain episodes in clients with pancreatitis.
A. While assessing the activity level of bowel sounds is important for monitoring gastrointestinal function, it is not the most crucial assessment data in this scenario. Bowel sounds may be decreased or absent in clients with severe abdominal pain, but addressing the dietary triggers of chronic pancreatitis pain takes priority.
C. Assessing the level and amount of physical activity is important for overall health and may play a role in managing chronic pancreatitis. However, in the context of persistent gnawing abdominal pain, addressing dietary factors that exacerbate the pain is more immediate and crucial.
D. Assessing the color and consistency of feces is important for monitoring gastrointestinal function and identifying signs of malabsorption or steatorrhea, which can occur in chronic pancreatitis. However, in the context of persistent gnawing abdominal pain, assessing dietary intake and potential triggers of pain is more pertinent to pain management.

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Correct Answer is D

Explanation

D Peritoneal dialysis involves using the peritoneum (the lining of the abdominal cavity) as a semipermeable membrane to remove waste products and excess fluid from the body. It requires a healthy peritoneal membrane for effective dialysis. Crohn's disease, especially if it has led to extensive inflammation or scarring of the peritoneum, can impair the function of the peritoneum and make peritoneal dialysis less effective or even contraindicated.
A While chronic viral hepatitis may affect the liver's ability to metabolize waste products, it is not necessarily a contraindication for peritoneal dialysis. However, active hepatitis or significant liver dysfunction may impact the choice of dialysis modality and require careful evaluation by the healthcare team.
B Nephrotic syndrome involves kidney damage that leads to excessive protein loss in the urine, fluid retention, and other complications. While nephrotic syndrome may necessitate dialysis as kidney function declines, it is not a contraindication for peritoneal dialysis per se.
C While diabetes-related complications can influence the choice of dialysis modality and require close monitoring, type 2 diabetes mellitus alone is not a contraindication for peritoneal dialysis.

A. Eat a soft diet with increased intake of milk and milk products. B. Have small frequent meals and sit up for at least two hours after meals. C. Eat a bland diet and avoid spicy foods. D. Eat a high fiber diet and increase fluid intake.

Correct Answer is D

Explanation

D. A high fiber diet is recommended for individuals with diverticulosis to help maintain bowel regularity and prevent constipation, which can contribute to diverticular symptoms and complications. Increasing fluid intake is also important to support the passage of fiber through the digestive tract and prevent dehydration. Adequate hydration is essential for softening stool and reducing the risk of fecal impaction or exacerbation of diverticular symptoms.
A. A soft diet is not typically recommended for diverticulosis, as it may lack adequate fiber and contribute to constipation. While milk and milk products are sources of calcium and protein, they do not provide the necessary fiber to promote bowel regularity and prevent diverticulosis- related complications.
B. Eating small, frequent meals and sitting up for a period after eating can help reduce symptoms of gastroesophageal reflux disease (GERD), but these measures are not specifically indicated for diverticulosis management. While maintaining an upright position after meals may help prevent GERD symptoms, it is not the most important diet instruction for diverticulosis.
C. A bland diet may be recommended for certain gastrointestinal conditions, but it is not typically indicated for diverticulosis. Avoiding spicy foods may help reduce symptoms in some individuals with gastrointestinal issues, but it is not the primary dietary intervention for managing diverticulosis.

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The nurse is caring for a client with chronic pancreatitis who reports persistent gnawing abdominal pain. To help the client manage the pain, which assessment data is most important for the nurse to obtain?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is diagnosed with chronic kidney disease and needs to begin dialysis. Which condition entered on the client's medical record should the nurse recognize as a contraindication for peritoneal dialysis?

Correct Answer is D

Explanation

When conducting discharge teaching for a client diagnosed with diverticulosis, which diet instruction should the nurse include?

Correct Answer is D

Explanation

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