The nurse is caring for a client who is being discharged from the hospital after an attack of acute pancreatitis. Which discharge instructions does the nurse provide for the client to help prevent a recurrence? (Select all that apply.)

Question

a. "Take a 20-minute walk at least 5 days each week."
b. "Attend local Alcoholics Anonymous (AA) meetings weekly."
c. "Choose whole grains rather than foods with simple sugars."
d. "Use cooking spray when you cook rather than margarine or butter."
e. "Stay away from milk and dairy products that contain lactose."
f. "We can talk to your doctor about a pre-scription for nicotine patches."

Answer 1

B, D, F
The client should be advised to stay sober, and AA is a great resource. The client requires a low-fat diet, and cooking spray is low in fat compared with butter or margarine. If the client smokes, he or she must stop because nicotine can precipitate an exacerbation. A nicotine patch may help the client quit smoking. The client must rest until his or her strength returns. The client requires high carbohydrates and calories for healing; complex carbohydrates are not preferred over simple ones. Dairy products do not cause a problem.