A priority nursing intervention for a patient with acute pancreatitis is to ensure this patient receives: Question 12 options: a) Opioid analgesics b) Total parenteral nutrition (TPN) with lipids c) Digestive enzyme replacements d) Small frequent meals
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A priority nursing intervention for a patient with acute pancreatitis is to ensure this patient receives:
Question 12 options:
a)
Opioid analgesics
b)
Total parenteral nutrition (TPN) with lipids
c)
Digestive enzyme replacements
d)
Small frequent meals
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- The nurse is developing a plan of care for a patient receiving an anorexiant. Which nursing diagnosis is most appropriate?a )Deficient fluid volumeb) Sleep deprivationc) Impaired memoryd )Imbalanced nutrition, less than body requirementsA client is receiving parenteral nutrition. A nurse assessing the client for complications of the therapy will be looking for which of the following indicates hyperglycemia? Question 34 options: a) Coarse dry hair, weakness and fatigue b) Thirst, blurred vision, and diuresis c) Fatigue, increased sweating, and heat intolerance d) High-grade fever, chills, and decreased urine output A client is receiving parenteral nutrition. A nurse assessing the client for complications of the therapy will be looking for which of the following that indicates hyperglycemia? Question 34 options: a) Coarse dry hair, weakness and fatigue b) Thirst, blurred vision, and diuresis c) Fatigue, increased sweating, and heat intolerance d) High-grade fever, chills, and decreased urine outputThe nurse would consider which of the following assessment findings as an adverse effect of sulfonylurea therapy? Question 70 options: a) Weight loss b) Hypoglycemia c) Gastrointestinal distress d) Lactic acidosis
- When the nurse is checking the laboratory data for a patient taking spironolactone (Aldactone), which result would be a potential concern? a )Serum sodium level of 140 mEq/Lb )Serum calcium level of 10.2 mg/dLc) Serum potassium level of 5.8 mEq/Ld )Serum magnesium level of 2.0 mg/dLA patient with anorexia nervosa is admitted to an inpatient psychiatric unit. The nurse's priority intervention is to: a) Monitor the patient's weight and vital signs closely b) Encourage the patient to engage in strenuous physical activity c) Administer appetite stimulant medications as prescribed d) Implement strict mealtime schedules. and portion controlA patient with a history of type 2 diabetes presents to the emergency department with symptoms of diabetic ketoacidosis (DKA), including polyuria, polydipsia, and fruity breath odor. The nurse anticipates implementing which priority intervention? a) Administering insulin intravenously b) Administering intravenous fluids and electrolytes c) Administering bicarbonate therapy d) Administering antidiabetic medications
- The nurse is administering cholestyramine (Questran), a bile acid sequestrant. Which nursing intervention(s) is appropriate? (Select all that apply.)a )Administering the drug on an empty stomach b )Administering the drug with mealsc )Instructing the patient to follow a low-fiber diet while taking this drugd) Instructing the patient to take a fiber supplement while taking this druge) Increasing fluid intake f) Not administering this drug at the same time as other drugsThe nurse is performing an assessment of a patient who is asking for a prescription for sildenafil (Viagra). Which finding would be a contraindication to its use? a )Age of 65 yearsb) History of thyroid diseasec) Medication list that includes nitratesd )Medication list that includes saw palmettoA patient has been instructed to use an over-the-counter (OTC) form of the bulk-forming laxative methylcellulose (Citrucel) to prevent constipation. The nurse will advise the patient of potential adverse effects, including (Select all that apply) a) fluid and electrolyte disturbances.b )decreased absorption of vitamins.c )gas formation.d )darkened stools.e )discolored urine.
- A 45-year-old woman with no significant medical history presents with acute abdominal pain, nausea, and vomiting. She describes the pain as sharp and localized to the right lower quadrant of her abdomen. Her vital signs are stable, but she appears in distress. The nurse must conduct a thorough assessment and collaborate with the healthcare team to determine the cause of her symptoms and plan appropriate interventions. Options: A) Prepare the patient for immediate surgery, suspecting appendicitis. B) Administer pain medication and wait for further diagnostic tests. C) Encourage clear liquid diet and reassess in a few hours. D) Perform a pelvic exam and consider gynecological causes.A patient experiencing ethanol withdrawal is beginning to show severe manifestations of delirium tremens. The nurse will plan to implement which interventions for this patient? (Select all that apply.) a )Doses of an oral benzodiazepineb )Doses of an intravenous benzodiazepine c) Restraints if the patient becomes confused, agitated, or a threat to himself or othersd )Thiamine supplementatione )Oral disulfiram (Antabuse) treatment f ) Monitoring in the intensive care unitA patient is prescribed a nonsteroidal anti-inflammatory drug (NSAID) for the management of pain and inflammation. The nurse educates the patient about potential adverse effects of NSAIDs, including: a) Hypoglycemia and hyperlipidemia b) Hypotension and bradycardia c) Gastric ulceration and renal dysfunction d) Allergic reactions and bronchospasm