The nurse is caring for a patient with acute pancreatitis demonstrating signs of hypovolemic shock. Which of the following will be included in this patient's plan of care?
1. maintain NPO status
2. monitor and report pulmonary arterial wedge pressure
3. administer anticholinergic medication
4. administer electrolyte replacements as prescribed
2
Rationale: In hypovolemia, the goal is to stabilize the patient's hemodynamic status. Of these choices, monitoring and reporting pulmonary arterial wedge pressure is the best intervention to include in this patient's plan of care. Maintaining NPO status and administering anticholinergic medication would minimize pancreatic stimulation. Administering electrolyte replacements as prescribed would be useful to prevent or treat complications.
You might also like to view...
A middle-aged female has presented to the emergency department (ED) after 36 hours of severe diarrhea that shows no sign of abating. The patient's family members are asking that the care team provide medications to resolve her diarrhea
The ED nurse should be aware that the use of diphenoxylate (Lomotil) would be contraindicated in which of the following circumstances? A) The patient has a documented history of laxative abuse. B) The patient's diarrhea is caused by the ingestion of toxins. C) The patient's diarrhea is attributable to psychosocial stress. D) The patient has an allergy to aspirin.
Which of the following physical findings regarding the client's weight is consistent with binge-eating disorders?
1. The client is usually of normal or slightly above average weight. 2. Weight tends to fluctuate but is generally low. 3. All of the clients are overweight. 4. The client is generally underweight.
A client's blood pressure is 138/86 mmHg. Which will the nurse use when documenting this finding in the client's medical record?
1. The client has normal blood pressure. 2. The client is exhibiting prehypertension. 3. The client is exhibiting stage I hypertension. 4. The client is exhibiting stage II hypertension.
The nurse is caring for a patient with newly diagnosed multiple sclerosis (MS). The patient asks why MS is called an autoimmune disease. What is the nurse's best response?
A) The body attacks its own cells because it responds to specific self-antigens to produce antibodies. B) A result of response to a cell that was invaded by bacteria, leading to antibody production to similar cells. C) Production of autoantibodies is a normal process that goes on all the time, but immunosuppression limits B-cell response. D) People with multiple sclerosis have a genetic predisposition to destroy autoantibodies.