A 13-year-old child has been admitted for acute pancreatitis. The parents want to know how the child contracted this disease. Which response by the nurse is the most appropriate?
A.
"Has your child been exposed to pancreatitis?"
B.
"In most cases we don't find the cause."
C.
"Microliths are a common causative factor."
D.
"Your child is probably drinking alcohol."
ANS: B
In children, the causative factors for pancreatitis are different than those seen in adults, who commonly develop pancreatitis secondary to alcohol abuse. Most cases of pediatric pancreatitis are idiopathic, which means the cause is not clear. The nurse's best reply is this one. Although microliths can cause pancreatitis, this is less common, and this response contains too much medical jargon to give the parents good information. The other two responses are inaccurate.
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