The nurse is caring for a client with acute pancreatitis.During the physical assessment,the nurse notes a grayish-blue discoloration of the client's flanks.Which is the nurse's priority action?

Question

Quizplus · Accepted Answer

Grayish-blue discoloration on the flanks (Turner's sign)indicates pancreatic enzyme leakage into the peritoneal cavity.This presents a risk of shock for the client,so IV access should be maintained with at least one large-bore patent IV catheter.The client may or may not need surgery; usually a fetal position helps with pain,and having an NG tube would not take priority over IV access.

The Nurse Is Caring for a Client with Acute Pancreatitis