Author Question: Discharge teaching for a client recovering from an attack of chronic pancreatitis should include ... (Read 37 times)

SO00 · **on:** Jul 22, 2018

Discharge teaching for a client recovering from an attack of chronic pancreatitis should include which of the following instructions?

1. Alcohol should be consumed in moderation.
2. Avoid caffeine, because it may aggravate symptoms.
3. Diet should be high in carbohydrates, fats, and proteins.
4. Frothy fatty stools indicate that enzyme replacement is working.

Question 2

A client in her second trimester of pregnancy is seen at the health care clinic. The nurse collects data from the client and notes that the fetal heart rate is 90 beats/min. Which of the following nursing actions is appropriate?

1. Document the findings.
2. Notify the physician.
3. Inform the client that everything is normal and fine.
4. Instruct the client to return to the clinic in 1 week for reevaluation of the fetal heart rate.

FergA · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

2

Rationale: Knowing that caffeinated beverages, such as coffee, tea, and soda, will worsen symptoms, such as pain, will direct you to select Avoid caffeine, because it may aggravate symptoms. Alcohol can precipitate an attack of chronic pancreatitis and needs to be avoided. The recommended diet is moderate carbohydrates, low fat, and high protein. Frothy fatty stools indicate that the replacement enzyme dose needs to be increased.

Answer to Question 2

2

Rationale: The fetal heart rate should be 120 to 160 beats/min during pregnancy. A fetal heart rate of 90 beats/min would require that the physician be notified and the client be further evalu-ated. The other options are inappropriate. Document the findings and inform the client that everything is normal and fine are comparable or alike and can be eliminated first. Instruct the client to return to the clinic in 1 week for reevaluation of the fetal heart rate is an inaccurate nursing action.