The nurse is caring for a patient with chronic pancreatitis who reports persistent gnawing abdominal pain. What assessment data is most important for the nurse to obtain to help manage the patient’s pain?

Activity level of bowel sounds.

Level and amount of physical activity.

Eating patterns of dietary intake.

Color and consistency of feces.

Answer and Explanation

The Correct Answer is C

Choice A rationale
While the activity level of bowel sounds can provide information about the functioning of the gastrointestinal system, it is not the most important data to manage the patient’s pain from chronic pancreatitis.
Choice B rationale
The level and amount of physical activity can affect the patient’s pain level, but it is not the most crucial data for managing pain in chronic pancreatitis.
Choice C rationale
Eating patterns of dietary intake are the most important data to manage the patient’s pain. In chronic pancreatitis, certain foods can exacerbate the pain. Understanding the patient’s dietary habits can help in providing appropriate dietary modifications.
Choice D rationale
The color and consistency of feces can provide information about the patient’s digestive health, but it is not the most important data to manage the patient’s pain from chronic pancreatitis.

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Correct Answer is C

Explanation

C. Prepare ice packs for placement in the patient’s axillary area.This response is crucial because the symptoms described—muscle rigidity and hyperthermia—are indicative ofmalignant hyperthermia, a serious reaction that can occur after the administration of succinylcholine, especially in conjunction with certain anesthetics. Immediate cooling measures, such as applying ice packs, are essential to help reduce the patient's elevated body temperature.

Rationale for Other Options:

A. Call the PACU nurse to prepare for prolonged ventilatory support.: While preparing for ventilatory support may be necessary later, immediate action to address hyperthermia is critical.
B. Hold a prescription for dantrolene until the fever is reduced.: Dantrolene is the antidote for malignant hyperthermia and should be administered as soon as possible rather than held.
D. Determine if prescribed antibiotics were administered preoperatively.: This action is not relevant to the immediate management of malignant hyperthermia.

A. Consume high-protein foods to reach an ideal body weight. B. Drink at least eight cups (1920 mL) of water each day. C. Use an electric heating pad when the pain is severe. D. Encourage active range of motion exercises to prevent stiffness.

Correct Answer is B

Explanation

Gouty arthritis is a form of inflammatory arthritis that occurs when uric acid crystals accumulate in the joints, causing severe pain and inflammation. Drinking plenty of water can help to flush the uric acid out of the body, reducing the risk of crystal formation and subsequent inflammation.

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The nurse is caring for a patient with chronic pancreatitis who reports persistent gnawing abdominal pain. What assessment data is most important for the nurse to obtain to help manage the patient’s pain?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient in the operating room has been administered succinylcholine and is now experiencing muscle rigidity and an extremely high temperature. What should the nurse do next?

Correct Answer is C

Explanation

Rationale for Other Options:

A patient with gouty arthritis is experiencing tenderness and swelling in the right ankle and big toe. The nurse notes that the inflammation extends above the ankle area. The patient has been prescribed colchicine and indomethacin. What should the nurse include in the discharge teaching?

Correct Answer is B

Explanation

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