NCLEX The client with pancreatitis

2. with each meal and snack

26. Pancreatic enzyme replacements are Prescribed for the client with chronic pancreatitis. When should the nurse instruct the client to take them to obtain the most therapeutic effect? 1. three times daily between meals 2. with each meal and snack 3. in the morning and at bedtime 4. every 4 hours, at specified times

3. observing stools for steatorrhea.

27. The nurse should teach the client with chronic pancreatitis to monitor the effectiveness of pancreatic enzyme replacement therapy by: 1. recording daily fluid intake. 2. performing glucose fingerstick tests twice a day. 3. observing stools for steatorrhea. 4. testing urine for ketones.

1. The client has had a 3-kg weight gain over 2 days.

28. The nurse is assessing a client with chronic hepatitis B who is receiving lamivudine. What information is most important to communicate to the healthcare provider (HCP)? 1. The client has had a 3-kg weight gain 2 days. 2. The client has nausea. 3. The client now has a temperature of 99 F (37.2°C) orally. 4. The client has fatigue.

1. furosemide 20 mg IV push

20. The nurse should question which prescription for medications for a client with acute panereatitis? 1. furosemide 20 mg IV push 2. imipenem 500 mg IV 3. morphine sulfate 2 mg IV push 4. famotidine 20 mg IV push

1. there is a strong link between alcohol use and acute pancreatitis.

17. The client who has been hospitalized with pancreatitis does not drink alcohol because of religious convictions. The client comes upset when the healthcare provider (HCP) persists in asking about aIcohol intake. The nurse should explain that the reason for these questions is that: 1. there is a strong link between alcohol use and acute pancreatitis. 2. alcohol intake can interfere with the tests used to diagnose pancreatitis. 3. alcoholism is a major health problem, and all clients are questioned about alcohol intake. 4. the HCP must obtain the pertinent facts, regardless of religious beliefs.

2. Place an intravenous line.

18. A client with acute pancreatitis has a blood pressure of 88/40 mm Hg, heart rate of 128 bpm, respirations of 28/min, and grey turner's sign. What prescription should the nurse implement first? 1. Initiate intake/output record. 2. Place an intravenous line 3. Position on left side 4. Insert a nasogastric tube

3. Hemoglobin is 12 g/dL.

19. On 1/16 at 0800, the nurse is caring for a client with acute pancreatitis reviewing progress notes as listed: Which finding indicates that the desired outcome of the transfusiion is obtained at this time?

4. pneumonia

21. The nurse should monitor the client with acute pancreatitis for which complication? 1. heart failure 2. duodenal ulcer 3. cirrhosis 4. pneumonia

1. Place the client in a side-lying position. 4. Monitor the client's respiratory status. 5. Obtain daily weights.

22. When providing care for a client hospitalized with acute pancreatitis who has acute abdominal pain, which nursing intervention(s) would be most appropriate for this client? Select all that apply. 1. Place the client in a side-lying position. 2. Administer morphine sulfate for pain as needed. 3. Maintain the client on a high-calorie, high-protein diet. 4. Monitor the client's respiratory status. 5. Obtain daily weights.

1. The client may be developing hypocalcemia.

23. The nurse notes that a client with acute pancreatitis occasionally experiences muscle twitching and jerking. How should the nurse interpret the significance of these symptoms? 1. The client may be developing hypocalcemia. 2. The client is experiencing a reaction to imeperidine. 3. The client has a nutritional imbalance. 4. The cilent nasds a muscle relaxant to promote rest

1. absent bowel sounds

24. A client is receiving propantheline bromide in the management of acute pancreatitis. Which finding would indicate that the nurse should discuss withholding the medication with the healthcare provider (HCP)? 1. absent bowel sounds 2. increased urine output 3. diarrhea 4. decreased heart rate

1. Avoid crash dieting.

25. Which dietary instruction would be appropriate for the nurse to give a client who is recovering from acute pancreatitis? 1. Avoid crash dieting. 2. Restrict carbohydrate intake. 3. Eat six small meals a day . 4. Decrease sodium in the diet.