Fundamentals of Nursing Q 532
Which non-pharmacological measure is particularly useful for a client with acute pancreatitis?
A. Diversional therapy, such as playing cards or board games.
B. Massage the back and neck with warmed lotion.
C. Side-lying position with knees to chest and pillow against the abdomen.
D. Transcutaneous electrical nerve stimulation (TENS).
Correct Answer: C. Side-lying position with knees to chest and pillow against the abdomen.
The side-lying, knee-chest position opens retroperitoneal space and provides relief. The pillow provides a splinting action. Reduces abdominal pressure and tension, providing some measure of comfort and pain relief. Note: Supine position often increases pain.
Option A: Diversional therapy is not the best choice for acute pain, especially if the activity requires concentration. Keep the environment free of food odors. Sensory stimulation can activate pancreatic enzymes, increasing pain.
Option B: The additional stimulation of massage may be distressing to the client. Provide alternative comfort measures (back rub), encourage relaxation techniques (guided imagery, visualization), quiet diversional activities (TV, radio).
Option D: TENS is more appropriate for chronic muscular pain. Maintain bed rest during an acute attack. Provide a quiet, restful environment. Decreases metabolic rate and GI stimulation and secretions, thereby reducing pancreatic activity.