A client with acute pancreatitis has developed a Cullen's sign. Which nursing diagnosis takes priority for this client?
a. Acute Pain
b. Altered Nutrition
c. Imbalanced Fluid Volume
d. Ineffective Breathing Patterns
A
Severe hemorrhagic pancreatitis may produce two distinctive manifestations: Turner's sign (bluish discoloration of the left flank) and Cullen's sign (bluish discoloration of the periumbilical area). Cullen's sign indicates bleeding into the peritoneum, making the client's priority problem Imbalanced Fluid Volume.
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