Question

A central venous catheter is inserted for a client being treated for acute pancreatitis. Which of the following would the nurse need to monitor closely?

1) Serum electrolyte values
2) Urine volume
3) Lung sounds
4) Pressure measurements

Answer 1

In a client with acute pancreatitis and a central venous catheter, nurses should closely monitor serum electrolyte values, urine volume, and lung sounds. Pressure measurements are essential as well but are generally monitored during surgery or in intensive care.

Step-by-step explanation:

When a client with acute pancreatitis has a central venous catheter inserted, the nurse would need to monitor several aspects closely. Primarily, it's crucial to monitor serum electrolyte values, as they can fluctuate significantly with pancreatitis due to fluid shifts and potential complications such as diabetes insipidus or diabetic ketoacidosis.

Another important monitoring focus should be on urine volume, as changes can indicate alterations in the patient's fluid status, which can be affected by the pancreatitis or treatments being administered. Similarly, lung sounds need to be assessed regularly for signs of pleural effusion or other respiratory complications that can occur with pancreatitis.

While pressure measurements are critical, they are typically monitored more strictly during surgery or in an intensive care setting due to their invasive nature. That being said, close attention might be paid to pressures if the patient's condition warrants it, such as in cases of septic shock where blood pressure could drop significantly.

All these monitoring strategies are vital for the nurse to assess and respond promptly to any signs of worsening condition or complications associated with acute pancreatitis and central venous catheter placement.