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 A

Explanation

A. The client is receiving heparin sodium, an anticoagulant medication, which increases the risk of bleeding during surgery, especially in combination with the open fracture and ongoing bleeding. The healthcare provider needs to be informed of the client's medication history to determine the appropriate management of anticoagulation therapy perioperatively.
B. While obtaining informed consent for surgery and potential blood transfusion is important, it is not the priority in this situation.
C. Monitoring the injection sites for signs of bruising is important for assessing for complications related to heparin administration, such as hematoma formation or bleeding. However, in the context of a client with an open fracture and moderate bleeding, the priority is to address the potential interaction between heparin therapy and the risk of bleeding from the fracture site.
D. While it is important to provide education to the client about the potential risks and complications associated with surgery, including bleeding, this is not the priority nursing action in this situation.

A. Do your family members share combs and brushes? B. Do you have any dry patches on your feet and hands? C. Has everyone at home already had varicella? D. Have the antifungal creams been effective?

Correct Answer is C

Explanation

C. Herpes zoster is caused by the reactivation of the varicella-zoster virus, the same virus that causes chickenpox (varicella). Asking whether everyone at home has already had varicella helps assess the risk of exposure to susceptible individuals who could potentially develop chickenpox upon exposure to the herpes zoster rash.
A. Sharing combs and brushes may increase the risk of transmitting head lice, fungal infections, or bacterial infections, but it is not directly relevant to the assessment of herpes zoster.
B. Dry patches on the feet and hands may be indicative of various dermatological conditions such as eczema or psoriasis, but they are not specific to herpes zoster. Herpes zoster typically presents as a painful rash with clusters of fluid-filled blisters along a specific dermatome
D. Asking about the effectiveness of antifungal creams is relevant if the client is being treated for a fungal infection, but it does not provide information specific to herpes zoster.

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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

Correct Answer is A

Explanation

The nurse is assessing a client who has herpes zoster. Which question will allow the nurse to gather further information about this condition?

Correct Answer is C

Explanation

The nurse is performing a physical assessment of a client. Which finding should the nurse recognize is a result of a compromised peripheral arterial circulation of the lower extremity?

A client with a fracture of the right femur has had skeletal traction applied. Which intervention should the nurse include in the client's nursing care plan?

After falling down the basement steps, a client is brought to the emergency department. X-ray results confirm that the client's right leg is fractured. Following application of a leg cast, which assessment finding warrants immediate intervention by the nurse?

Exhibits What order(s) should the nurse anticipate being prescribed after an update is reported to the healthcare providers? Select all that apply.

Patient’s Data Exhibits Select the 3 dietary choices that are not part of the recommended diet gout.

Patient Data Exhibits The nurse has identified the priority problem for the client and now must determine proper care interventions. Based on the client's history and the assessment data, what action(s) should the nurse anticipate? Select all that apply.