A client with acute pancreatitis reports severe epigastric p… | MyMerci
HemodynamicsPA
Question
A client with acute pancreatitis reports severe epigastric pain radiating to the back and has persistent vomiting. Which initial nursing action is appropriate?
1Maintain nothing-by-mouth status and administer prescribed IV fluids and analgesia.✓ Correct answer
2Encourage a high-fat meal to stimulate pancreatic enzymes.
3Place the client flat and restrict all IV fluids.
4Give oral antacids as the only intervention.
Explanation
Acute pancreatitis care commonly includes bowel rest, IV fluids, and pain management. High-fat meals stimulate the pancreas and worsen symptoms. Fluid restriction and oral-only treatment do not address vomiting, pain, and risk for hypovolemia.
In-depth explanation
Clinical Judgment Use the client cues, timing, labs, and safety risks to select the response that best fits Acute pancreatitis initial care.
Memory Tip Match the strongest cue cluster to the safest nursing judgment.
KR vs US NCLEX items reward cue-based priority thinking rather than isolated recall.
Clinical scenario
Clinical Practice Guide For Acute pancreatitis initial care, 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
Pancreatitis — Inflammation of the pancreas that can cause severe abdominal pain and systemic effects.
Nothing by Mouth — Withholding oral intake to rest the gastrointestinal tract or prevent complications.
Analgesia — Medication or intervention used to relieve pain.