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    Hesi rn exit proctored examQuestion 41
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    Hesi rn exit proctored exam

    A client with pancreatitis reports severe epigastric pain, so the nurse administers a prescribed narcotic analgesic. Ten minutes later, the client insists on sitting up and leaning forward. Which intervention should the nurse implement?

    Explanation & Rationale

    A. Position bedside table so the client can lean across it: Leaning forward, or assuming a tripod position, can help relieve pressure on the inflamed pancreas and ease epigastric pain, so positioning a bedside table for support offers comfort and facilitates better breathing. B. Encourage rest until the analgesic becomes effective: Although rest is beneficial, simply encouraging the client to wait disregards their active attempts to find a position that eases their pain, potentially worsening discomfort and anxiety. C. Raise head of bed until to a 90 degree angle: Elevating the head of the bed may provide partial relief but does not offer the same effectiveness as allowing the client to lean forward, which specifically reduces intra-abdominal pressure. D. Place bed in a reverse trendelenburg position: Reverse Trendelenburg reduces pressure on abdominal organs by elevating the head and torso, but it is less effective for relieving pancreatitis-related pain compared to leaning forward with upper body support.

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