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NCLEX-RN · Question #497
NCLEX-RN Question #497: Real Exam Question with Answer & Explanation
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Question
A male client is admitted to the medical-surgical unit from the emergency room with a diagnosis of acute pancreatitis. The nurse performs the admission nursing assessment. He is NPO with IV fluids infusing at 100 mL/hour. He is experiencing excruciating abdominal pain. Based on an analysis of these data, which nursing diagnosis would receive the highest priority?
Options
- APain related to stimulation of nerve endings associated with obstruction of the pancreatic tract
- BFluid volume deficit related to vomiting and nasogastric tube drainage
- CKnowledge deficit related to treatment regimen
- DAltered nutrition: less than body requirements, related to inadequate intake associated with current
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