A patient is diagnosed with subtotal pancreatic necrosis. Which of the following would be indicated for this patient?
1. restrict fluids
2. keep on bed rest
3. administer proton pump inhibitor
4. assess arterial blood gases
3
Rationale: Patients with subtotal pancreatic necrosis usually require a proton pump inhibitor on a daily basis as the bicarbonate secretion of the pancreas is severely diminished putting the patient at risk for duodenal ulcer. Therefore, the nurse should administer proton pump inhibitors as prescribed. There is no evidence to suggest this patient should be on a fluid restriction. Bedrest is not going to aid with the subtotal pancreatic necrosis. Arterial blood gas assessment might help determine the presence of acidosis because of the reduction of bicarbonate secretion of the pancreas but the administration of the proton pump inhibitor would be the best intervention indicated for the patient at this time.
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