A client was discharged after hospitalization for acute ...

[tichca]

A client was discharged after hospitalization for acute pancreatitis with instructions on the use of analgesics, cautions on the importance of avoiding alcohol and smoking, and recommendations for a low-fat diet.
 
  Which outcomes would indicate that the client has implemented the recommendations?
  Select all that apply.
  A) The client experiences reduction or elimination of pain.
  B) The client is free from alterations in nutritional status.
  C) The client remains free from alterations in fluid balance.
  D) The client returns to work.
  E) The client is free from nausea.

Question 2

The nurse is providing care to an older adult client with a history of alcohol abuse who is admitted to the hospital with acute pancreatitis. Which treatment options should the nurse plan for when caring for this client?
 
  Select all that apply.
  A) Opioid analgesics
  B) High-fat diet
  C) Total parenteral nutrition
  D) Nasogastric tube to suction
  E) Pancrealipase administration

[JCABRERA33]

Answer to Question 1

Answer: A, B, C, E

Indications that would suggest that the client has implemented the recommendations include a reduction or elimination of pain; is free from alterations in nutritional status; is free from alterations in fluid balance; and is free from nausea. Employment is not an evaluative measure for managing acute pancreatitis.

Answer to Question 2

Answer: A, C, D

A client admitted with acute pancreatitis will be NPO until serum amylase levels have returned to normal, bowel sounds are present, and pain disappears. Opioid analgesics are often necessary for the acute pain experiences by the client. Total parenteral nutrition is initiated and a nasogastric tube is inserted and connected to suction. A low-fat, not a high-fat, diet will be implemented once the client is able to eat by mouth. Pancrealipase is prescribed for clients with chronic pancreatitis, not acute pancreatitis.