Patho Patho #25

Question

Which clinical manifestation is expected upon assessment of a client with acute pancreatitis?

Answers

  1. Ascites
    • Rationale:

      This answer choice is not correct because ascites is associated with advanced liver disease and not acute pancreatitis.

  2. Hypovolemic shock
    • Rationale:

      This answer choice is not correct because hypovolemic shock is not an expected finding associated with acute pancreatitis. Although shock is a potential complication, this is not a typical and expected symptom of pancreatitis.

  3. Constipation
    • Rationale:

      This answer choice is not correct because nausea and vomiting are commonly associated with acute pancreatitis as opposed to constipation.

  4. Right upper quadrant pain
    • Rationale:

      This answer is correct because right upper quadrant pain is a classic and expected finding upon assessment of a client with acute pancreatitis.

Overview

Acute pancreatitis results when the pancreas becomes irritated and inflamed due to a number of potential underlying causes. The most common cause of acute pancreatitis is the presence of gallstones. Acute inflammation of the pancreas causes significant abdominal pain that is mostly localized to the right upper quadrant.

Explanation

Learning Outcomes

The focus of this question is asking the nurse to identify an expected assessment finding in a client with acute pancreatitis. The pancreas is located in the right upper abdominal quadrant so reports of right upper quadrant pain are very characteristic of acute pancreatitis. Additional symptoms of acute pancreatitis include fever, nausea and vomiting.

Test Taking Tip

Make sure to be able to differentiate expected findings from findings that indicate potential complications. Expected findings are not considered priority findings.

Video Rationale