need help with these questions

[cwvpool]

Patient has gallbladder disease and is in extreme pain and has vomited some, Do I take care of his pain first or his fluid status

Also a patient has acute pancreatitis and needs his pain meds and my other patient has liver cirohissis(spelling) who was confused in the night who do I go see first?

[RNCEN]

What do YOU think?

[cwvpool]

I answered take care of the pain on both questions, just not sure if i got it right? im asking what you all think

[tnbutterfly - Mary, BSN]

Where were these questions?

[cwvpool]

Patient has gallbladder disease and is in extreme pain and has vomited some, Do I take care of his pain first or his fluid status

Also a patient has acute pancreatitis and needs his pain meds and my other patient has liver cirohissis(spelling) who was confused in the night who do I go see first?

[an2on, BSN, RN]

You could have at least went to Google to find the correct spelling for cirrhosis. Doesn't your computer underline a misspelled word with a red line? Geez

[cwvpool]

if you have no suggestions on how to answer the question please don't post, thanks

[You'reTall]

I agree, pain first for both.

Fluid replacement and hepatic encephalopathy treatments will be time consuming.

[Jolie, BSN]

if you have no suggestions on how to answer the question please don't post, thanks

That's the way to endear yourself to the posters on AN who could help you with your homework.

You will find that if you post your own thoughts, along with rationales, you will likely get enthusiastic assistance from experienced nurses.

If not, you'll likely get annoyed responses picking at your spelling, grammar and lack of initiative.

It's your choice.

[cwvpool]

An acute pancreatitis patient needs his pain medication and a patient who has Liver Cirrhosis was confused during the night, I am a nurse receiving report from the night shift nurse, which of these patient's do I see first?

This was a test question and i chose treating the pain, because in my readings it said confusion can sometimes be a normal part of the Cirrhosis process, whereas acute pancreatitis is very painful. We have not received our grades back yet so i do not know if I got this question right I was wanting some advice on how to answer this type of question.

Also a question a patient is extreme pain from gallstones has nausea and has vomited some. Which do I treat first the pain or the fluid?

I chose the pain thinking maybe the pain was leading to his nausea and vomiting or at least exacerbating it.

Any suggestions would be greatly appreciated

[Hospice Nurse LPN, BSN, RN]

I would address the pain first in both pts.

[Double-Helix, BSN, RN]

I already answered you identical question, but:

1. Vomiting once is not going to cause fluid imbalance. He is vomiting because he is in pain. So if you correct the pain than the vomiting should correct itself too.

2. Acute pancreatitis is very painful, but it's also an expected part of the disease. Confusion is not inherantly associated with liver cirrhosis, so you want to assess the person who has the unexpected symptoms. (In real life, you'd probably quickly bring the pain med and do a focused assessment on the pancreatitis patient. Then do a longer assessment on the confused person. However, NCLEX wants to to recognize who is most abnormal/in the most danger and therefore in the most need of being assessed.