In planning the post-operative care for a morbidly obese client, how can the expertise of the LPN/LVN best be applied?

Correct Answer: C

Rationale: The correct answer is C because LPN/LVNs can assist in planning bathing, turning, and ambulation for a morbidly obese client. This is crucial in preventing complications such as pressure ulcers, deep vein thrombosis, and respiratory issues. LPN/LVNs can provide physical support and guidance to ensure the client's safety and comfort during these activities. Choice A is incorrect because obtaining oversized equipment is not the primary role of LPN/LVNs. Choice B is also incorrect as setting up a reinforced trapeze bar is more of a facility management task. Choice D is incorrect as designing alternatives for routine tasks is not within the scope of practice for LPN/LVNs.

Correct Answer: C

Rationale: The correct answer is C: Rapid breathing and pulse rate. In acute pancreatitis, inflammation of the pancreas can lead to systemic complications, including respiratory distress and tachycardia. This occurs due to the release of inflammatory mediators affecting the respiratory and cardiovascular systems. Increased thirst and urination (Choice A) are more indicative of diabetes or renal issues. Hypertension and nausea (Choice B) are not typical symptoms of acute pancreatitis. Frothy, foul-smelling stools (Choice D) are more likely linked to malabsorption disorders rather than acute pancreatitis. Rapid breathing and pulse rate are key signs that indicate the severity of the condition and the need for prompt intervention.

Correct Answer: C

Rationale: The correct answer is C: Elevated serum ammonia levels. Prolonged antibiotic therapy can lead to disruption of normal gut flora, causing overgrowth of ammonia-producing bacteria. Elevated serum ammonia levels can indicate hepatic encephalopathy, a serious condition that requires immediate intervention. Coagulation problems (A) are more commonly associated with liver disease or vitamin deficiencies. Impaired absorption of amino acids (B) is typically seen in conditions like celiac disease or gastrointestinal disorders, not specifically related to prolonged antibiotic use. Increased mucus and bicarbonate secretion (D) are not directly related to prolonged antibiotic therapy, but rather to respiratory or gastrointestinal conditions.

Correct Answer: A

Rationale: The correct answer is A: Prevention of aspiration. This is essential in tube feeding to avoid the risk of food or liquid entering the lungs, causing aspiration pneumonia. Nursing interventions for this include ensuring proper positioning during and after feeding, checking residual volumes before each feeding, and using the appropriate tube size and placement. Incorrect Choices: B: Prevention of diarrhea - Diarrhea is not directly related to tube feeding complications, but rather to factors such as infection, medication side effects, or underlying conditions. C: Maintenance of tube patency - While important, this focuses on ensuring the tube remains clear and functional, not directly related to preventing aspiration. D: Maintenance of tube placement - Ensuring proper tube placement is crucial for effective feeding but does not directly address the risk of aspiration.

Correct Answer: A

Rationale: Step 1: The priority is to administer fluids to rehydrate the patient. Step 2: Intravenous fluids are not mentioned, so the nurse should start with oral fluids. Step 3: Option A is the most appropriate choice as it addresses the need for fluid intake to promote rehydration. Step 4: Water (Option B) lacks electrolytes that aid in rehydration. Step 5: Hot tea (Option C) may irritate the stomach and not provide adequate hydration. Step 6: Gatorade (Option D) contains electrolytes but may be too heavy for initial rehydration.