# A client with acute pancreatitis reports severe epigastric pain radiating to the back and is vomiting. Which intervention should the nurse anticipate?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=396595&lang=en  
> language: en  
> subject: Alterations in Body Systems  
> category: PA

## Question

A client with acute pancreatitis reports severe epigastric pain radiating to the back and is vomiting. Which intervention should the nurse anticipate?

## Option

1. Maintain NPO status, administer IV fluids, and give prescribed analgesia. **✔ Correct answer**
2. Provide a high-fat meal to stimulate pancreatic rest.
3. Encourage alcohol intake to reduce withdrawal risk.
4. Place the client supine and restrict all pain medication.

**Correct answer: 1**

## Explanation

Acute pancreatitis management commonly includes bowel rest, IV fluids, antiemetics, and pain control. High-fat meals and alcohol worsen pancreatic stimulation and injury. Withholding pain medication is not appropriate nursing care.

## In-depth explanation

Clinical Judgment
Use the client cues, timing, labs, and safety risks to select the response that best fits Acute pancreatitis.

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, 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 complications.
- **NPO** — Nothing by mouth, often used temporarily to reduce gastrointestinal stimulation.
- **Analgesia** — Medication or intervention used to relieve pain.

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