# A client with acute pancreatitis reports severe epigastric pain radiating to the back and has persistent vomiting. Which initial nursing action is appropriate?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=397262&lang=en  
> language: en  
> subject: Hemodynamics  
> category: PA

## Question

A client with acute pancreatitis reports severe epigastric pain radiating to the back and has persistent vomiting. Which initial nursing action is appropriate?

## Option

1. Maintain nothing-by-mouth status and administer prescribed IV fluids and analgesia. **✔ Correct answer**
2. Encourage a high-fat meal to stimulate pancreatic enzymes.
3. Place the client flat and restrict all IV fluids.
4. Give oral antacids as the only intervention.

**Correct answer: 1**

## 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.

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