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    Ati Med Surg Complex 2 Final Proctored Exam

    Why is pain control a nursing priority in patients with acute pancreatitis?

    Explanation & Rationale

    Rationale: A. It is caused by dilation of the biliary system is incorrect because, although gallstones and biliary obstruction can trigger acute pancreatitis, this option explains a possible cause of pancreatitis rather than why pain control is a nursing priority. It does not address the physiologic consequences of uncontrolled pain. B. It decreases the patient’s metabolism is incorrect because pain typically increases metabolic demand and stress hormone release rather than decreasing metabolism. Uncontrolled pain leads to increased oxygen consumption and energy expenditure. C. It increases pancreatic secretions is correct because pain and stress stimulate the sympathetic nervous system, which can increase pancreatic enzyme secretion. Increased enzyme release worsens pancreatic inflammation and autodigestion. Effective pain control helps reduce pancreatic stimulation, limits further tissue damage, and promotes healing. D. It is caused by decreased distention of the pancreatic capsule is incorrect because pain in acute pancreatitis is associated with inflammation, edema, and increased distention of the pancreatic capsule, not decreased distention.

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