What does the nurse caring for a patient with acute pancreatitis do to provide adequate pain control?
should suggest that the patient receive epidural analgesia.
provides IV push analgesics as needed.
administers pain medication on a routine schedule
provides oral pain medication on an "as needed" (PRN) basis.
The Correct Answer is C
Rationale:
A. Should suggest that the patient receive epidural analgesia is incorrect because epidural analgesia is not the standard or first-line approach for pain management in acute pancreatitis. Pain is typically managed pharmacologically with systemic analgesics, usually opioids, rather than invasive regional anesthesia techniques.
B. Provides IV push analgesics as needed is incorrect because PRN dosing can lead to peaks and troughs in pain control. Waiting for pain to become severe before administering medication can increase stress, worsen pancreatic stimulation, and make pain more difficult to control.
C. Administers pain medication on a routine schedule is correct because scheduled analgesia maintains consistent pain relief, prevents pain escalation, reduces physiologic stress, and helps limit pancreatic stimulation. Continuous pain control is essential in acute pancreatitis to promote comfort and healing.
D. Provides oral pain medication on an “as needed” (PRN) basis is incorrect because patients with acute pancreatitis are often NPO and may not tolerate oral medications. Additionally, PRN oral dosing does not provide consistent pain control and is inadequate for severe pancreatic pain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C"]
Explanation
A. IgD – Attaches to mast cells and basophils on epithelial surfaces and enhances release of histamine and other vasoactive mediators responsible for the "wheal and flare" reaction. Important for allergic responses, inflammatory reactions, and parasitic infections.
B. IgA – Found on mucosal surfaces of respiratory, GI, and GU systems, preventing antigen adherence. Influential against bacteria and some viral organisms. Does not cross the placenta but passes to newborn through colostrum and breast milk. Deficiency may be congenital (autosomal dominant or recessive) or related to anticonvulsant use.
C. IgM – First antibody formed after exposure to an antigen, rapidly diminishes as IgG increases. Present mostly in the intravascular space. Causes antigenic agglutination and cell lysis via complement activation.
D. IgG- Produced primarily by T-cells in the bone marrow to stimulate the production of red blood cells. It is the only antibody that cannot cross the placental barrier, ensuring the fetus remains unprotected from maternal infections until after birth.
E. IgE- The most abundant antibody in the blood, making up 80% of total serum. It functions mainly as a receptor on B-lymphocytes to regulate the secretion of insulin from the pancreas during an immune response.
Correct Answer is A
Explanation
Rationale:
"ICU syndrome" is an older term historically used to describe the acute confusional state seen in critically ill patients in intensive care units. Today, this condition is recognized as delirium and describes the sudden confusion, disorientation, and behavioral changes that critically ill patients often developed in intensive care units.
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