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Medicine General c8157445

Pierre who is diagnosed with acute pancreatitis is under the care of Nurse Bryan. Which intervention should the nurse include in the care plan for the client?

A
Administration of vasopressin and insertion of a balloon tamponade
B
Preparation for a paracentesis and administration of diuretics
C
Maintenance of nothing-by-mouth status and insertion of nasogastric (NG) tube with low intermittent suction
D
Dietary plan of a low-fat diet and increased fluid intake to 2,000 ml/day
High-Yield Explanation
With acute pancreatitis, the client is kept on nothing-by-mouth status to inhibit pancreatic stimulation and secretion of pancreatic enzymes. NG intubation with low intermittent suction is used to relieve nausea and vomiting, decrease painful abdominal distention, and remove hydrochloric acid. Vasopressin would be appropriate for a client diagnosed with bleeding esophageal varices. Paracentesis and diuretics would be appropriate for a client diagnosed with portal hypertension and ascites. A low-fat diet and increased fluid intake would further aggravate pancreatitis.

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