NCLEX Examination.
Practice Question # 628.
Nclex
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.
