CASE STUDY – HESI – Chronic Pancreatitis – Flashcards
27 test answers
Unlock all answers in this set
Unlock answers 27question
Which intervention should the nurse implement prior to transferring Jared to the floor?
answer
Insert a nasogastric tube and connect to low, intermittent suction.
Unlock the answer
question
Which intervention regarding positioning should the nurse implement to help alleviate Jared's pain?
answer
Encourage side lying with legs drawn to chest.
Unlock the answer
question
Which intervention should the nurse include in the plan of care?
answer
Administer oxygen via nasal cannula.
Unlock the answer
question
Which intervention should the nurse implement prior to administering TPN?
answer
Assist the HCP with a subclavian line insertion.
Unlock the answer
question
The nurse should anticipate that the TPN bag will be empty in how many hours?
answer
13
Unlock the answer
question
Which independent nursing action regarding the client's nutritional status should the nurse include when caring for Jared?
answer
Obtain and record a daily weight.
Unlock the answer
question
Which task can the nurse delegate to the UAP when caring for Jared?
answer
Obtain a blood glucose reading.
Unlock the answer
question
What action should the nurse take?
answer
Administer D10W via the infusion pump at 75 mL/hr
Unlock the answer
question
Which nursing intervention has the highest priority when preparing Jared for discharge?
answer
Explain the importance of alcohol abstinence.
Unlock the answer
question
Which action should the nurse include when providing discharge teaching?
answer
Discuss ways to deal with stressful situations and avoid stress if possible.
Unlock the answer
question
Which statement by the nurse provides the best response to Jared's comment?
answer
I will contact your HCP to discuss this with you.
Unlock the answer
question
Which question should the nurse ask Jared prior to the ERCP?
answer
When was the last time you had anything to eat or drink?
Unlock the answer
question
What intervention has the highest priority when caring for Jared after the procedure?
answer
Assess the client's pulse and blood pressure.
Unlock the answer
question
How should the nurse respond?
answer
This is common in persons with chronic pancreatitis.
Unlock the answer
question
Which statement accurately explains the scientific rationale for the use of omeprazole (Prilosec)?
answer
Omeprazole (Prilosec) decreases gastric secretions.
Unlock the answer
question
How should the nurse proceed when teaching Jared about this mediation?
answer
Determine if Jared is allergic to any type of pork.
Unlock the answer
question
Which additional instruction regarding the use of pancrelipase (Cotazym) is important for the nurse to include?
answer
Take the medication with meals or snacks.
Unlock the answer
question
When the nurse is discussing the complications of chronic pancreatitis with Jared and his wife, which information should be included in the teaching? (Select all that apply.)
answer
-The need to monitor blood glucose levels. -That recurring attacks tend to become more severe in nature.
Unlock the answer
question
Which action should the nurse encourage Jared to take?
answer
Weigh weekly and report any significant weight loss.
Unlock the answer
question
How should the nurse respond?
answer
It is a support group that uses a 12-step recovery program to quit drinking.
Unlock the answer
question
How should the nurse respond?
answer
There are no dues or fees to attend the meetings.
Unlock the answer
question
How should the nurse respond to Jared's question?
answer
Jared, if you don't stop drinking, this disease may kill you.
Unlock the answer
question
Which nursing intervention will be most beneficial in helping Jared and his wife plan for the future if he is unable to modify his lifestyle?
answer
Discuss the need to complete an Advance Directive.
Unlock the answer