.A nurse is admitting a client who has acute pancreatitis. Which of the following provider prescriptions should the
nurse anticipate?
A. Initiate a
... [Show More] low-residue diet.
Rationale: One of the manifestations of acute pancreatitis is abdominal pain. The nurse should anticipate
the provider will prescribe withholding of foods and fluids. This serves to manage the client's
pain by limiting gastrointestinal activity and stimulation of the pancreas.
B. Pantoprazole 80 mg IV bolus twice daily
Rationale: The nurse should anticipate a provider's prescription for a proton pump inhibitor to decrease
gastric acid production, which ultimately decrease pancreatic secretions.
C. Ambulate twice daily.
Rationale: The nurse should anticipate a provider prescription for bed rest during the acute stage of
pancreatitis. Bed rest decreases the metabolic rate and the secretion of pancreatic enzymes.
D. Pancrelipase 500 units/kg PO three times daily with meals
Rationale: The nurse should identify that pancrelipase, an enzyme replacement medication, is used in the
treatment of clients who have chronic pancreatitis. It is not used in the treatment of acute
pancreatitis.
2.A nurse is admitting a client who has active tuberculosis to a room on a medical-surgical unit. Which of the following
room assignments should the nurse make for the client?
A. A room with air exhaust directly to the outdoor environment
Rationale:A room with air exhaust directly to the outside environment eliminates contamination of other
client-care areas. This type of ventilation system is referred to as an airborne infection isolation
room.
B. A room with another nonsurgical client
Rationale:A two-bed room with another nonsurgical client exposes the other client to tuberculosis. A client
who has tuberculosis should have a private room.
C. A room in the ICU
Rationale:A client who has active tuberculosis and no other comorbidities is not critically ill.
D. A room that is within view of the nurses' station
Rationale: The client's room should be well ventilated and private, but it is not necessary for it to be close to
the nurses' station. [Show Less]