NCLEX RN Practice Question # 628

A client diagnosed with chronic pancreatitis, is concerned about pain control. A nurse explains to the client that the initial plan for controlling the pain of chronic pancreatitis involves the administration of:

1. opioid analgesic medications.
2. NSAIDs.
3. pancreatic enzymes with H2 blocker medications.
4. acetaminophen (Tylenol®) and low-carbohydrate diet.


Chronic pancreatitis NCLEX Review


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
Signs and symptoms of diabetes mellitus


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.