NCLEX RN Practice Question # 628

NCLEX Examination.

Practice Question # 628.


Nclex

chronic-pancreatitis

Chronic pancreatitis NCLEX Review

Assessment

  • Abdominal pain and tenderness
  • Left upper quadrant mass
  • Steatorrhea and foul-smelling stools that may increase in volume as pancreatic insufficiency increases
  • Weight loss
  • Muscle wasting
  • Jaundice
  • Signs and symptoms of diabetes mellitus

Interventions

  • Instruct the client in the prescribed dietary measures (fat and protein intake may be limited).
  • Instruct the client to avoid heavy meals.
  • Instruct the client about the importance of avoiding alcohol.
  • Provide supplemental preparations and vitamins and minerals to increase caloric intake.
  • Administer pancreatic enzymes as prescribed to aid in the digestion and absorption of fat and protein.
  • Administer insulin or oral hypoglycemic medications as prescribed to control diabetes mellitus, if present.
  • Instruct the client in the use of pancreatic enzyme medications.
  • Instruct the client in the treatment plan for glucose management.
  • Instruct the client to notify the physician if increased steatorrhea, abdominal distention or cramping, or skin breakdown develops.
  • Instruct the client in the importance of follow-up visits.

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