A nurse plans care for a client with acute pancreatitis. Which intervention should the nurse include in this client's plan of care to reduce discomfort?
a. Administer morphine sulfate intravenously every 4 hours as needed.
b. Maintain nothing by mouth (NPO) and administer intravenous fluids.
c. Provide small, frequent feedings with no concentrated sweets.
d. Place the client in semi-Fowler's position with the head of bed elevated.
ANS: B
The client should be kept NPO to reduce GI activity and reduce pancreatic enzyme production. IV fluids should be used to prevent dehydration. The client may need a nasogastric tube. Pain medications should be given around the clock and more frequently than every 4 to 6 hours. A fetal position with legs drawn up to the chest will promote comfort.
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