A nurse is caring for a newly admitted client.

Exhibits

A nurse notes the client's condition and initiates the following action.

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.

A. Secretions include amylase: Amylase is a digestive enzyme secreted by the pancreas that helps break down carbohydrates. Elevated serum amylase is a common diagnostic marker in acute pancreatitis.

B. Contains proteolytic enzymes that break down dietary proteins: The pancreas produces proteolytic enzymes like trypsin and chymotrypsin, which digest proteins in the small intestine under normal conditions.

C. Pancreatic enzymes auto-digest pancreatic cells and tissue: In acute pancreatitis, premature activation of these enzymes inside the pancreas leads to self-digestion and inflammation of pancreatic tissue.

D. A reversible inflammatory process: Acute pancreatitis is typically reversible with prompt treatment, unlike chronic pancreatitis which involves permanent structural damage and functional loss.

E. Cardinal manifestation is abdominal pain – could be midabdominal, could be epigastric: Severe abdominal pain is the hallmark symptom, commonly located in the epigastric or midabdominal region and may radiate to the back.

A. Atrophy of the remaining kidney: In cases of unilateral kidney loss, the remaining kidney typically does not atrophy but instead adapts to compensate for the lost function. Atrophy would be unlikely unless there is an underlying disease affecting the remaining kidney.

B. Compensatory hypertrophy of the remaining kidney: When one kidney is removed or nonfunctional, the remaining kidney often undergoes compensatory hypertrophy, increasing in size and function to handle the body's metabolic needs. This process helps maintain adequate renal function despite loss of one kidney.

C. Renal failure: While loss of one kidney reduces overall renal mass, a healthy remaining kidney usually compensates sufficiently to prevent renal failure. Renal failure is unlikely unless the remaining kidney has preexisting damage or disease.

D. Dysplasia in the remaining kidney: Dysplasia refers to abnormal development or growth of tissue, typically congenital. It is not an expected response to removal of the opposite kidney. The remaining kidney usually develops normally unless affected by a congenital abnormality.