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. Compromised peripheral arterial circulation can lead to decreased blood flow to the extremities, resulting in poor tissue perfusion. Over time, this can cause changes in the skin and hair distribution. Uneven hair distribution, or sparse hair growth, is a characteristic finding in areas of reduced arterial circulation due to inadequate oxygen and nutrient delivery to the hair follicles.

B. Lower leg edema is more commonly associated with compromised venous circulation rather than arterial circulation. It occurs due to impaired venous return, leading to fluid accumulation in the tissues.
C. Bronze pigmentation of the skin is not typically associated with compromised peripheral arterial circulation. Bronze pigmentation can occur in conditions such as hemochromatosis or Addison's disease but is not a specific sign of peripheral arterial disease.

D. In peripheral arterial disease, peripheral pulses may be diminished or absent due to arterial narrowing or occlusion. Bounding peripheral pulses are more commonly associated with conditions such as arterial hypertension.

A. Bring additional sterile dressing supplies to the room. B. Auscultate the abdomen for bowel sound activity. C. Obtain a sample of the drainage to send to the laboratory. D. Prepare the client to return to the operating room.

Correct Answer is D

Explanation

D Evisceration, where the abdominal contents protrude through the surgical incision, is a surgical emergency that requires immediate intervention to prevent further complications, such as infection, tissue damage, or bowel strangulation. Returning the client to the operating room allows for prompt evaluation and repair of the wound by the surgical team.
A While bringing additional sterile dressing supplies may be necessary for ongoing wound care, it is not the priority in this situation.
B While assessing bowel sounds is important for monitoring gastrointestinal function, it is not the priority in this situation.
C While obtaining a sample of drainage for laboratory analysis may be relevant for assessing for infection or other complications, it is not the priority in this situation.

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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

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?

Correct Answer is A

Explanation

A client who had colon surgery 3 days ago is anxious and requesting assistance to reposition. While the nurse is turning the client, the wound dehisces and eviscerates. The nurse moistens an available sterile dressing and places it over the wound. Which intervention should the nurse implement next?

Correct Answer is D

Explanation

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