The most common cause of endocrine disorders is:

A. Pancrelipase is used to replace pancreatic enzymes in clients with pancreatic insufficiency, but it is not typically prescribed in the acute phase of pancreatitis. During acute pancreatitis, the priority is to rest the pancreas, which means withholding pancreatic enzymes.

B. Pantoprazole is a proton pump inhibitor (PPI) that reduces gastric acid secretion. It is commonly prescribed for clients with acute pancreatitis to reduce the risk of stress ulcers, which can occur due to the inflammatory process and the use of medications like corticosteroids.

C. A low-residue diet is not typically indicated in the acute phase of pancreatitis. The client is usually kept NPO (nothing by mouth) initially to rest the pancreas and allow for recovery. Once the acute symptoms subside, a low-fat diet may be introduced.

D. While ambulation is important for overall recovery and preventing complications like deep vein thrombosis, it is not a priority in the acute phase of pancreatitis. Rest and monitoring are more critical at this time.

A. Hyperglycemic hyperosmolar-nonketotic syndrome (HHNS) is more commonly associated with type 2 diabetes. It is characterized by very high blood sugar levels and dehydration, but without significant ketone production. It typically occurs in older adults with type 2 diabetes who experience severe dehydration and illness.

B. Hypoglycemia is more commonly associated with type 1 diabetes due to the frequent need for insulin therapy, which can cause low blood sugar levels. In type 2 diabetes, hypoglycemia is less common unless the patient is on insulin or certain oral medications.

C. Diabetic ketoacidosis (DKA) is primarily a complication of type 1 diabetes. It occurs when there is a severe insulin deficiency, leading to the breakdown of fat for energy and the production of ketones. While DKA can occur in type 2 diabetes, it is far more common in type 1.

D. The Somogyi effect refers to rebound hyperglycemia following an episode of hypoglycemia, typically occurring overnight. It is more commonly seen in type 1 diabetes, especially when insulin doses are too high, causing low blood sugar at night followed by a rebound increase in blood sugar.