Trends in nutritional management of the patient with pancreatitis are changing. As a result, the nurse understands that:
a. patients with pancreatitis must eat nothing in order to prevent release of secretin.
b. nasogastric suction is essential in treating patients with pancreatitis.
c. a nasogastric tube is no longer required to treat patients with ileus.
d. immediate oral feeding in patients with mild pancreatitis may help recovery.
D
Nasogastric suction and "nothing by mouth" status were classic treatments for patients with acute pancreatitis to suppress pancreatic exocrine secretion by preventing the release of secretin from the duodenum. Normally, secretin, which stimulates pancreatic secretion production, is stimulated when acid is in the duodenum; therefore, nasogastric suction has been a primary treatment. Nausea, vomiting, and abdominal pain may also be decreased with nasogastric suctioning. A nasogastric tube is also necessary in patients with ileus, severe gastric distention, and a decreased level of consciousness to prevent complications resulting from pulmonary aspiration. Trends in nutritional management are changing. Early nutritional support may be ordered to prevent atrophy of gut lymphoid tissue, prevent bacterial overgrowth in the intestine, and increase intestinal permeability. Immediate oral feeding in patients with mild acute pancreatitis is safe and may accelerate recovery. Early enteral nutrition appears effective and safe.
You might also like to view...
The nurse is planning care for a 70-year-old patient newly admitted with a medical diagnosis of pneumonia and a nursing diagnosis of Ineffective Airway Clearance. Which is the nurse's priority intervention?
a. Teach the importance of pneumonia immunization. b. Teach coughing and deep breathing exercises. c. Position to optimize maximum ventilation. d. Encourage use of incentive spirometer to increase deep breathing.
In evaluating the effectiveness of an exercise program in an obese client, the nurse should expect the following outcomes:
A) reduced bone density. B) reduced insulin sensitivity. C) increased joint pain. D) enhanced feelings of well-being.
The nurse who is demonstrating breast self-examination to a patient points out that the most common area in the breast for tumors to occur is:
1. under the nipple. 2. the upper outer quadrant. 3. the six o'clock position. 4. the axillary lymph nodes.
You assist with the application of a full-body plaster cast to a child. The child immediately becomes diaphoretic and complains of being hot. Which nursing intervention would be indicated?
A) Observe the child for infection. B) Suggest removal of the cast to the orthopedist. C) Moisten the cast with cool water. D) Advise the child that this is to be expected.