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D440 OA Practice Assessment Latest recent and frequently tested with comprehensive questions and verified accurate solution (detailed & elaborated) GRADED A+.

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D440 OA Practice Assessment Latest recent
and frequently tested with comprehensive
questions and verified accurate solution
(detailed & elaborated) GRADED A+

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, Which intervention will the nurse implement for a client hospitalized with acute pancreatisis? - correct
ans:- Administer analgesics

- Teach relaxation exercises

- monitor cardiac rate & rhythm

- provide antiemetics



Rationale:

Analgesics, histamine-receptor antagonists, and proton pump inhibitors may be administered to
decrease gastrointestinal activity and the secretion of pancreatic enzymes. Relaxation will decrease the
metabolic rate, which will decrease gastrointestinal activity, including the secretion of pancreatic
enzymes. Monitoring cardiac rate and rhythm is necessary to assess for hypokalemia and fluid volume
changes. Antiemetics will be administered to help reduce nausea and vomiting. The client would be kept
nothing by mouth to decrease gastrointestinal activity and the secretion of pancreatic enzymes and
therefore would not have a high-fat diet order. Once PO nutrition is resumed the diet would include
high-carbohydrate and protein, but low-fat. Walking increases the metabolic rate, which will increase
gastrointestinal activity, including the secretion of pancreatic enzymes. Hypocalcemia, not
hypercalcemia, occurs because of calcium and fatty acids combining during fat necrosis. The client with
acute pancreatitis is at risk for inadequate nutrition and will be weighed daily.



Which food selection by a client with celiac disease indicates the nurse's dietary teaching was
successful? SATA

Green beans

Baked potato

Egg noodles

Turkey sandwich

Baked salmon

Whole-wheat cereal

Fried eggs

Whole milk - correct ans:Green beans, baked potato, baked salmon, fried eggs, whole milk



Rationale: Noodles, bread in the turkey sandwich, and whole-wheat cereal are high in gluten, and clients
on gluten-free diets should avoid these products. Celiac clients are to avoid gluten found in wheat, oats,
and barley.

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