The nurse receives report from the emergency department about a client being admitted to the floor with pancreatitis. As the nurse prepares for the client to arrive, what should the nurse include in the plan of care? Select all that apply.

Management of acute pancreatitis involves aggressive supportive care aimed at reducing pancreatic stimulation, controlling inflammation, and preventing complications such as hypovolemia, hyperglycemia, and ileus. The pancreas becomes inflamed due to premature activation of digestive enzymes, leading to severe abdominal pain and systemic inflammatory response. Nursing care prioritizes bowel rest, fluid resuscitation, pain control, and close metabolic monitoring. Early interventions are essential to stabilize the patient and prevent progression to organ dysfunction. Rationale: A. Effective pain management is a primary priority because acute pancreatitis causes severe epigastric pain due to pancreatic inflammation and autodigestion. Opioid analgesics are often required because pain can be intense and persistent. Adequate pain control also reduces stress response, which can otherwise worsen pancreatic enzyme secretion and systemic inflammation. B. Maintenance of a clear liquid diet is not appropriate in the acute phase of pancreatitis. The pancreas must be placed at rest to reduce stimulation of enzyme secretion, and even minimal oral intake can exacerbate inflammation. Patients are typically kept NPO until pain and enzyme levels improve, with nutrition provided intravenously or enterally if needed later. C. Nasogastric tube placement may be indicated to decompress the stomach and reduce nausea, vomiting, and abdominal distension. In severe pancreatitis, gastric stasis and ileus can occur, increasing discomfort and aspiration risk. NG suction helps minimize gastrointestinal stimulation and supports bowel rest during the acute phase. D. Administration of intravenous fluids is essential due to third-spacing of fluids into the retroperitoneal and peritoneal spaces. This fluid shift can lead to hypovolemia, hypotension, and poor organ perfusion. Aggressive IV hydration helps maintain circulating volume, supports renal function, and reduces risk of shock. E. Monitoring of glucose levels is necessary because pancreatic inflammation can impair insulin secretion from islet cells. This may lead to hyperglycemia, even in patients without a history of diabetes. Regular blood glucose monitoring allows early detection and management of metabolic imbalance, preventing complications such as diabetic ketoacidosis or poor wound healing.