The nurse is caring for a client with acute pancreatitis. Which nursing intervention best reduces discomfort for the client?
a. Administering morphine sulfate IV every 4 to 6 hours as needed
b. Maintaining NPO status for the client with IV fluids
c. Providing small, frequent feedings, with no concentrated sweets
d. Placing the client in semi-Fowler's posi-tion at elevation of 30 degrees
B
The client should be kept NPO to reduce GI activity and reduce pancreatic enzyme production. IV fluids should be used to prevent dehydration. The client may need a nasogastric (NG) tube. Pain medications should be given around the clock and more frequently than every 4 to 6 hours. A fetal position with legs drawn up to the chest will promote comfort.
You might also like to view...
The nurse is caring for an unconscious client who has foot drop. Which items would be useful in properly aligning the client's foot?
1. Pillows 2. Footboard 3. Trochanter roll 4. Foot boot
An elderly woman had a series of lab tests that indicate she is healthy, but she has had several colds lately and often feels fatigued (although she is not depressed). She eats lightly but has a healthful diet
Which is the best advice a nurse could give her for improving her health? A) Increase total food intake. B) Take mega-doses of vitamins. C) Exercise more. D) Have psychotherapy.
The nurse is caring for a patient who had a right extremity below the knee amputation (BKA)
The nurse recognizes the importance of implementing measures that focus on preventing flexion contracture of the hip and maintaining proper positioning. Which of the following measures will achieve these goals? A) Encouraging the patient to turn from side to side and to assume a prone position B) Initiating ROM exercises of the hip and knee 3 months after the amputation C) Minimizing movement of the flexor muscles of the hip D) Encouraging the patient to sit in the chair for at least 8 hours of the day
A nurse is inspecting the IV access site of a client receiving intravenous therapy. The nurse suspects that the IV has infiltrated based on which finding at the site? Select all that apply
A) Swelling B) Redness C) Pallor D) Warmth to touch E) Pain