,1. A nurse is admitting a client who has acute pancreatitis. Which of the following
provider prescriptions should the
nurse anticipate?
A. Initiate a low-residue diet.
Rationale: One of the manifestations of acute pancreatitis is abdominal pain. The
B
nurse should anticipate
LU
the provider will prescribe withholding of foods and fluids. This serves to manage
the client's
YC
pain by limiting gastrointestinal activity and stimulation of the pancreas.
B. Pantoprazole 80 mg IV bolus twice daily
D
Rationale: The nurse should anticipate a provider's prescription for a proton pump
inhibitor to decrease
TU
gastric acid production, which ultimately decrease pancreatic secretions.
C. Ambulate twice daily.
ES
Rationale: The nurse should anticipate a provider prescription for bed rest during
the acute stage of
C
pancreatitis. Bed rest decreases the metabolic rate and the secretion of pancreatic
A
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
B
room assignments should the nurse make for the client?
LU
A. A room with air exhaust directly to the outdoor environment
Rationale:A room with air exhaust directly to the outside environment eliminates
YC
contamination of other
client-care areas. This type of ventilation system is referred to as an airborne
infection isolation
D
room.
TU
B. A room with another nonsurgical client
Rationale:A two-bed room with another nonsurgical client exposes the other client
ES
to tuberculosis. A client
who has tuberculosis should have a private room.
C
C. A room in the ICU
A
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.
3. A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of
the following should the nurse identify as an associated risk factor?
B
A. Hypocalcemia
LU
Rationale: Hypercalcemia is a risk factor associated with urolithiasis.
B. BMI less than 25
YC
Rationale: Obesity, or having a BMI that is greater than 29, has been found to be a
risk factor for the
D
development of urolithiasis.
TU
C. Family history
Rationale: Family history is strongly correlated with the formation of urolithiasis.
A nurse should assess a
ES
client who has kidney stones for familial tendencies toward stone formation.
D. Diuretic use
C
Rationale: Medications such as antacids, vitamin D, laxatives, and aspirin have
A
been associated with the
formation of urolithiasis. However, there is no indication that the use of diuretics
place a client at
an increased risk for stone formation.
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