A client with pancreatitis experiences a seizure due to alcohol withdrawal. Which of the following interventions should a nurse consider to minimize the risk for injury?

Correct Answer: C

Rationale: The correct answer is C: Administer oxygen throughout the seizure. Oxygen administration is crucial during a seizure to maintain oxygenation and prevent hypoxia. Hypoxia can exacerbate brain damage in clients experiencing seizures. Administering oxygen helps ensure adequate oxygen supply to the brain and other vital organs, reducing the risk of injury. A: Initiate precautions by restraining the client - Restraint can increase the risk of injury and worsen the seizure. B: Observe the client throughout the seizure - While important, simply observing the client does not actively prevent injury during the seizure. D: Administer an analgesic during the seizure - Analgesics are not indicated during a seizure and may not address the risk for injury. Administering oxygen is the most appropriate intervention to minimize the risk for injury during a seizure in a client with pancreatitis and alcohol withdrawal.

Correct Answer: A

Rationale: Step-by-step rationale for why option A is correct: 1. Gastrostomy tube is inserted directly into the stomach, bypassing the esophagus, reducing irritation to nasal and esophageal mucosa. 2. NG tube goes through the nose, potentially causing irritation and discomfort to the mucosa. 3. In severe protein-calorie malnutrition, preservation of mucosal integrity is crucial for nutrient absorption. 4. Hence, choosing a gastrostomy tube minimizes additional stress on already compromised mucosa. Summary of why other options are incorrect: - Option B: The sensory experience of eating is unrelated to the nutritional benefits of tube feeding. - Option C: Aspiration risk is not directly affected by the type of tube used but rather by proper feeding techniques and patient positioning. - Option D: All feeding tubes require periodic checking for placement to prevent complications, including gastrostomy tubes.

Correct Answer: B

Rationale: The correct answer is B: IV replacement of fluid and electrolytes. When a patient has been vomiting for several days, they are at risk of dehydration and electrolyte imbalance. Intravenous fluids are necessary to rehydrate the patient and restore electrolyte balance. Oral administration of broth and tea (choice A) may not be sufficient for severe dehydration. Administration of parenteral antiemetics (choice C) may help control vomiting but does not address the dehydration and electrolyte imbalance. Insertion of a nasogastric (NG) tube for suction (choice D) may be considered if the patient has severe gastric distention or ileus, but the priority is to address fluid and electrolyte imbalances first.

Correct Answer: C

Rationale: The correct answer is C because learning relaxation strategies to decrease stress can help manage peptic ulcer disease symptoms. Stress can exacerbate ulcer symptoms, so stress management is crucial. Choice A is incorrect as stopping medications abruptly can worsen the condition. Choice B is incorrect as treatment should be based on medical advice, not just pain presence. Choice D is incorrect as different antacids contain varying active ingredients and may not have the same effect.

Correct Answer: B

Rationale: The correct answer is B: NPO status in preparation for possible appendectomy. This patient presents with classic signs of appendicitis, such as persistent pain at McBurney's point, rebound tenderness, muscle guarding, and preference for lying still with the right leg flexed. NPO status is crucial to prevent complications if surgery is needed. Laxatives (choice A) are not indicated as the focus should be on diagnosing and treating appendicitis. Parenteral fluids and antibiotics (choice C) may be necessary but not specifically for 6 hours before surgery. Inserting an NG tube (choice D) is not necessary for appendicitis.