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    Ati Lpn Medical Surgical Nursing 1 Proctored Exam

    A nurse is taking care of a client with gastrointestinal complaints. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.

    Explanation & Rationale

    Rationale Potential condition • Pancreatitis: Elevated amylase (185 → 180 U/L, reference 30–110 U/L), abdominal complaints, nausea, and vomiting suggest pancreatitis. Mild fever and tachycardia support an inflammatory process. Liver enzymes are mildly elevated but not primary, and blood glucose is within normal limits. Actions to take • Increase fluid intake: IV and oral fluids help prevent dehydration caused by vomiting and decreased oral intake, which is common in pancreatitis. • Administer antiemetic medication: Reduces nausea and vomiting, improves comfort, and helps maintain hydration and nutrition. Parameters to monitor • Emesis frequency: Monitoring vomiting helps evaluate severity, effectiveness of antiemetic therapy, and risk of fluid/electrolyte imbalance. • Abdominal pain level: Pain is a primary symptom of pancreatitis; tracking changes helps assess treatment response and progression.

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