Author Question: A patient with a 10-year history of alcoholism was admitted to the critical care unit with the ... (Read 103 times)

sarasara · **on:** Jun 25, 2018

A patient with a 10-year history of alcoholism was admitted to the critical care unit with the diagnosis of acute pancreatitis

The patient is complaining of a pain in left upper quadrant. Using a 1- to 10-point pain scale, the patient states the current level is at an 8 . To properly manage the patient's pain, the priority of nursing interventions is to

a. administer antiemetics around the clock.
b. administer analgesics around the clock.
c. educate the patient and family on lifestyle changes.
d. teach relaxation techniques.

Question 2

Which of the following regarding the client history will assist the nurse in developing the plan of management? (Select all that apply.)

a. Provides direction for the rest of the assessment
b. Exposes key clinical manifestations
c. Aids in developing the plan of care
d. The degree of the client's distress determines the extent of the interview
e. Determines length of stay in the hospital setting

dyrone · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

B
Pain management is a major priority in acute pancreatitis. Administration of around-the-clock analgesics to achieve pain relief is essential. Morphine, fentanyl, and hydromorphone are the commonly used narcotics for pain control. Relaxation techniques and the kneechest position can also assist in pain control.

Answer to Question 2

A, B, C, D
The initial presentation of the patient determines the rapidity and direction of the interview. For a patient in acute distress, the history should be curtailed to just a few questions about the patient's chief complaint and precipitating events.