A client presents to the emergency room with epigastric pain and nausea. Which prescriptions should the nurse anticipate?

Rationale: A. This combination is typically reserved for severe pancreatitis with prolonged ileus or inability to tolerate enteral feeding. In this client, bowel sounds are present and the patient is passing flatus, indicating functional gastrointestinal activity, so total parenteral nutrition (TPN) and an NG tube are not immediately indicated. B. While clear liquids may be appropriate later, initiating oral intake too early could worsen nausea, vomiting, or abdominal pain in acute pancreatitis. Current assessment indicates the client should not eat until stabilized and nausea controlled. C. An NG tube is indicated primarily for significant vomiting, gastric outlet obstruction, or ileus. This client has vomited only once and has positive bowel sounds, so routine NG tube placement is unnecessary. D. The client’s presentation—epigastric pain radiating to the back and left shoulder, bluish umbilical discoloration (Cullen sign), nausea, vomiting, and fever with tachycardia—is consistent with acute pancreatitis. Standard initial management includes: pain control, IV fluid resuscitation, NPO (nothing by mouth) to rest the pancreas, and antiemetics to control nausea. Early supportive care helps stabilize the client and prevent complications.