Physiological Adaptation Q 117

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Which of the following factors should be the primary focus of nursing management in a patient with acute pancreatitis?

  

     A. Nutrition management

     B. Fluid and electrolyte balance

     C. Management of hypoglycemia

     D. Pain control

    

    

Correct Answer: B. Fluid and electrolyte balance

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Acute pancreatitis is commonly associated with fluid isolation and accumulation in the bowel secondary to ileus or peripancreatic edema. Fluid and electrolyte loss from vomiting is a major concern. Therefore, your priority is to manage hypovolemia and restore electrolyte balance.

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Options A and D: Pain control and nutrition also are important, but not priority.

Option C: Patients are at risk for hyperglycemia, not hypoglycemia.

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