The nurse, caring for a patient with acute pancreatitis, is planning care to optimize respiratory functioning. Which of the following should the nurse include in this patient's plan of care?
1. monitor for ileus formation
2. suction when necessary and ambulate as tolerated
3. nasogastric tube care as needed
4. administer analgesics as prescribed
2
Rationale: Suction when necessary and ambulate as tolerated would be applicable to optimize respiratory functioning in the patient. Monitor for ileus formation would be applicable to optimize nutritional status. Nasogastric tube care would be applicable for relief of nausea and vomiting. Administration of analgesics as prescribed would be applicable for pain control.
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