What is the most appropriate nursing intervention to help alleviate severe abdominal pain in a patient with acute pancreatitis?

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Question 1 of 5

What is the most appropriate nursing intervention to help alleviate severe abdominal pain in a patient with acute pancreatitis?

Correct Answer: C

Rationale: The correct answer is C, administering prescribed opioid analgesics. This intervention is appropriate for severe abdominal pain in acute pancreatitis as opioids are effective in managing pain. Encouraging oral intake (A) can worsen symptoms, a supine position (B) can exacerbate pain, and a heating pad (D) can aggravate inflammation. Administering opioid analgesics provides direct pain relief and is the most effective intervention for alleviating severe abdominal pain in acute pancreatitis.

Question 2 of 5

A patient is admitted with a diagnosis of myasthenia gravis. What symptom should the nurse expect to find during the assessment?

Correct Answer: B

Rationale: The correct answer is B: Muscle weakness. Myasthenia gravis is characterized by muscle weakness due to an autoimmune attack on acetylcholine receptors at the neuromuscular junction. This leads to impaired muscle contraction and weakness, especially in the face, neck, and extremities. Joint pain (A) is not a typical symptom of myasthenia gravis. Loss of sensation (C) is more indicative of a sensory nerve disorder rather than a motor disorder like myasthenia gravis. Severe headache (D) is not a common symptom of myasthenia gravis; it is more likely to be associated with other conditions such as migraines or intracranial pathology.

Question 3 of 5

A patient with Parkinson's disease is prescribed levodopa. What dietary modification should the nurse suggest to the patient?

Correct Answer: B

Rationale: The correct answer is B: Limit foods high in protein. Levodopa competes with amino acids for absorption in the small intestine, so consuming high-protein foods can reduce its effectiveness. Limiting protein intake can help maximize the absorption and efficacy of levodopa. Increasing vitamin C (option A) is not directly related to levodopa metabolism. Avoiding fiber (option C) is not necessary for levodopa therapy. Increasing sodium intake (option D) is not indicated for levodopa treatment in Parkinson's disease.

Question 4 of 5

Prior to elective surgery, a patient taking warfarin should receive which instruction regarding warfarin therapy?

Correct Answer: D

Rationale: The correct answer is D because stopping warfarin one week before surgery reduces the risk of excessive bleeding during the procedure. Warfarin's anticoagulant effect can persist for several days, so stopping it earlier allows time for its effects to diminish. Choice A is incorrect because continuing warfarin until the day of surgery increases bleeding risk. Choice B is incorrect as stopping warfarin only three days before surgery may not provide enough time for the anticoagulant effect to wear off. Choice C is incorrect as aspirin is not a suitable substitute for warfarin in most cases.

Question 5 of 5

Why is a low-protein diet recommended for a patient with renal failure?

Correct Answer: B

Rationale: The correct answer is B: To reduce nitrogenous waste. In renal failure, the kidneys cannot effectively filter waste products like urea and creatinine, leading to their accumulation in the blood. A low-protein diet reduces the production of these nitrogenous wastes, lessening the burden on the kidneys. A low-protein diet does not directly prevent fluid overload (A), maintain electrolyte balance (C), or prevent hyperglycemia (D) in renal failure. These functions are typically managed through other dietary modifications and treatments specific to each condition.

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