A client with mild acute pancreatitis reports that nausea ha… | MyMerci
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Alterations in Body Systems PA
Question

A client with mild acute pancreatitis reports that nausea has resolved during early recovery. Which prescription should the nurse anticipate?

Explanation
Current guidance supports early low-fat oral feeding as tolerated in mild acute pancreatitis. Feeding need not wait for lipase normalization, and parenteral nutrition is avoided when oral or enteral intake is feasible.
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In-depth explanation

Quick answer
Anticipate early low-fat oral feeding as tolerated rather than prolonged bowel rest.

Why this is correct
In mild acute pancreatitis, early oral feeding supports gut function when tolerated. A low-fat solid diet can begin without a required clear-liquid step, and a laboratory value does not have to normalize first.

Easy analogy or mental picture
Restarting intake is like testing a repaired pathway with a controlled load: begin with an appropriate low-fat meal and watch tolerance. This does not mean forcing food when nausea, vomiting, ileus, or clinical instability is present.

Memory hook
Mild pancreatitis plus tolerance leads to early low-fat oral feeding.

NCLEX decision rule
When mild acute pancreatitis is improving, favor early oral feeding as tolerated. Do not extend NPO status for lipase normalization or choose parenteral nutrition when the gastrointestinal route works.

Why the other choices are wrong
Lipase normalization is not a feeding prerequisite. Routine parenteral nutrition adds catheter and infection risks, and a week of clear liquids delays adequate nutrition without evidence-based benefit.
References
  • [1]
    NCSBN: 2026 NCLEX-RN Test PlanNational Council of State Boards of Nursing
  • [2]
    ACG Guideline Highlights: Acute PancreatitisAmerican College of Gastroenterology, 2024

Clinical scenario

Clinical Practice Guide
For Acute pancreatitis, compare the complete cue pattern with the client's current stability, ordered data, and expected nursing scope.

Caution
Do not choose an action from one isolated cue when the full scenario changes priority or safety.

Key concepts

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For study reference only. Always follow current clinical guidelines and your institution’s protocols.