Which nursing assessment is priority for a patient with severe acute pancreatitis Quizlet

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When managing a patient with acute pancreatitis The first priority is to?
Which set of assessment findings indicates to the nurse that a patient may have acute pancreatitis?
How do you assess for acute pancreatitis?
Which goal is most important for a client with acute pancreatitis?

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A, E

Rationale: During the acute phase, it is important to monitor vital signs. Hemodynamic stability may be compromised by hypotension, fever, and tachypnea. Injection fluids are ordered, and the response to therapy is monitored. Fluid and electrolyte balances are closely monitored. Frequent vomiting, along with gastric suction, may result in decreased levels of chloride, sodium, and potassium. Because hypocalcemia can occur in acute pancreatitis, the nurse should observe for symptoms of tetany, such as jerking, irritability, and muscular twitching. Numbness or tingling around the lips and in the fingers is an early indicator of hypocalcemia. The patient should be assessed for Chvostek's sign or Trousseau's sign. A patient with acute pancreatitis should be observed for fever and other manifestations of infection. Respiratory infections are common because the retroperitoneal fluid raises the diaphragm, which causes the patient to take shallow, guarded abdominal breaths.

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When managing a patient with acute pancreatitis The first priority is to?

Fluids. One of the primary therapies for acute pancreatitis is adequate early fluid resuscitation, especially within the first 24 hours of onset. Pancreatitis is associated with a lot of swelling and inflammation.

Which set of assessment findings indicates to the nurse that a patient may have acute pancreatitis?

The diagnosis of acute pancreatitis requires the presence of at least two of the three diagnostic criteria – characteristic abdominal pain, elevated serum amylase or lipase, and radiological evidence of pancreatitis.

How do you assess for acute pancreatitis?

Diagnosis.

Blood tests to look for elevated levels of pancreatic enzymes, along with white blood cells, kidney function and liver enzymes..

Abdominal ultrasound to look for gallstones and pancreas inflammation..

Computerized tomography (CT) scan to look for gallstones and assess the extent of pancreas inflammation..

Which goal is most important for a client with acute pancreatitis?

The goals of treatment of acute pancreatitis are to alleviate pancreatic inflammation and to correct the underlying cause. Treatment usually requires hospitalization for at least a few days.