A patient is receiving care in the intensive care unit for acute pancreatitis. The nurse is aware that pancreatic necrosis is a major cause of morbidity and mortality in patients with acute pancreatitis
Consequently, the nurse should assess for what signs or symptoms of this complication?
A) Sudden increase in random blood glucose readings
B) Increased abdominal girth accompanied by decreased level of consciousness
C) Fever, increased heart rate and decreased blood pressure
D) Abdominal pain unresponsive to analgesics
Ans: C
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Pancreatic necrosis is a major cause of morbidity and mortality in patients with acute pancreatitis because of resulting hemorrhage, septic shock, and multiple organ dysfunction syndrome (MODS). Signs of shock would include hypotension, tachycardia and fever. Each of the other listed changes in status warrants intervention, but none is clearly suggestive of an onset of pancreatic necrosis.
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