The nurse is caring for a patient with acute pancreatitis who is vomiting. It would be important for the nurse to frequently assess which of the following?

a. Ability to move lower extremities
b. Skin color and pain
c. Bowel sounds and body weight
d. Vital signs and urinary output


ANS: D
Complications of pancreatitis include cardiovascular, pulmonary, and renal failure. Vital signs and urinary output help monitor for onset of these life-threatening complications. Lower extremity movement is not affected. Pain is expected and should be monitored, but it is not life threatening. Bowel sounds and body weight are also important, but changes are not as immediately life threatening as cardiovascular, pulmonary, and renal failure.

Nursing

You might also like to view...

A patient is having a procedure that involves cutting through the skin to diagnose a mass located in the left breast. For which type of biopsy should the nurse plan care for this patient?

1. incisional 2. fine-needle 3. needle core 4. excisional

Nursing

Why should pregnant patients who have hypothyroidism continue to take thyroid replacement drugs throughout pregnancy?

a. These drugs have a low likelihood of increasing the risks for birth defects. b. Without continuing thyroid replacement drugs, the pregnancy may not continue. c. Pregnancy is a high metabolism condition and less drug is needed but should still be taken. d. The fetus produces thyroid hormones that help supplement the pregnant woman's hormone level, but minimal replacement is needed during pregnancy.

Nursing

Which action by the nurse demonstrates fiscal responsibility to the employing organization? (Select all that apply.)

a. Only bringing needed supplies into a patient's room b. Accurately documenting the patient's condition c. Minimally documenting in the patient's chart d. Taking breaks as scheduled e. Remaining healthy and able to function on the job

Nursing

A nurse is caring for a female client with anorexia nervosa. What would the nurse observe during the nursing assessment of the client?

A) Menorrhagia B) Rapid pulse C) Alopecia D) Hypertension

Nursing