Final answer:
Increased bowel sounds are typically not expected in pancreatitis. Common findings include intense abdominal pain, jaundice, and possibly diminished bowel sounds. Bloodwork showing elevated amylase and lipase, and imaging studies like ultrasound are used in assessment.
Step-by-step explanation:
A nurse assessing a client with pancreatitis should expect a variety of symptoms due to the inflammation of the pancreas. Generally, increased bowel sounds are not a characteristic finding; rather, diminished bowel sounds might be present. Pancreatitis often presents with intense abdominal pain, nausea, vomiting, and may lead to complications affecting various bodily systems. One common symptom of pancreatitis is jaundice, which is the yellowing of the skin and the whites of the eyes due to increased bilirubin levels.
A comprehensive assessment for pancreatitis may include blood tests to check for elevated levels of pancreatic enzymes such as amylase and lipase, which indicate inflammation of the pancreas. Monitoring electrolytes, dehydration status, and complete blood count (CBC) can help evaluate the severity of the pancreatitis and check for complications like infection. Imaging studies, such as an ultrasound, might be employed to visualize the pancreas and surrounding structures for pathological changes.
Other associated symptoms can include pale stools, dark urine, and for chronic presentations, symptoms such as chronic, watery diarrhea. Treatment of pancreatitis involves managing pain and addressing the underlying cause, which may include lifestyle changes, medication, or in some cases, surgery.