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1. A nurse is caring for a client admitted with acute pancreatitis who reports severe
epigastric pain radiating to the back, nausea, and vomiting. The client has a history of
heavy alcohol use. Vital signs reveal tachycardia and mild hypotension. Laboratory
results show elevated amylase and lipase levels. The client is kept NPO, receiving IV
fluids and prescribed IV analgesics. The nurse must determine the most important
nursing intervention to support pancreatic rest, reduce complications, and promote
recovery during the acute phase of illness.
Choices
A. Encourage small, frequent oral feedings once pain decreases
B. Maintain strict NPO status and monitor fluid and electrolyte balance
C. Place the client in a supine position to reduce abdominal pressure
D. Administer oral antiemetics with sips of water
Correct Answer
B. Maintain strict NPO status and monitor fluid and electrolyte balance
Rationale
Acute pancreatitis requires pancreatic rest to reduce enzyme secretion and inflammation.
Maintaining strict NPO status prevents stimulation of the pancreas and supports healing.