A nurse is caring for a client who is newly diagnosed with Parkinson’s disease. The client states, “I have no idea why I got this.” Which of the following is the most important question the nurse should ask this client while performing the assessment?

Choice A Reason: Avoid wearing tight-fitting clothing

Avoiding tight-fitting clothing is not specifically related to the management of acute pancreatitis. While comfortable clothing can be beneficial for general well-being, it does not directly impact the condition or its management. The primary focus for managing acute pancreatitis involves dietary and lifestyle changes that reduce stress on the pancreas.

Choice B Reason: Cease from smoking and consuming alcohol

Ceasing from smoking and consuming alcohol is crucial for clients with acute pancreatitis. Alcohol is a major risk factor for pancreatitis, and continued consumption can exacerbate the condition and lead to chronic pancreatitis or other complications. Smoking also has detrimental effects on the pancreas and can worsen the prognosis. Therefore, it is essential to advise clients to stop these habits to promote healing and prevent recurrence.

Choice C Reason: Practice good dental hygiene

While good dental hygiene is important for overall health, it is not specifically related to the management of acute pancreatitis. The primary concerns for pancreatitis management involve dietary adjustments, avoiding alcohol and smoking, and monitoring for symptoms of recurrence.

Choice D Reason: Stop exercising

Stopping exercise is not recommended for clients with acute pancreatitis. In fact, regular physical activity can be beneficial for overall health and well-being. However, clients should avoid strenuous activities during the acute phase of pancreatitis and gradually resume exercise as they recover. The focus should be on balanced, moderate physical activity that supports overall health without overexerting the body.

Choice A Reason:

Encouraging the client to bear down is not an appropriate response to abdominal cramps during an enema. Bearing down can increase discomfort and does not address the underlying cause of the cramps.

Choice B Reason:

Stopping the enema and documenting that the client did not tolerate the procedure is not the best initial action. While it is important to document the client’s response, there are other steps that can be taken to alleviate the discomfort before stopping the procedure entirely.

Choice C Reason:

This is the correct answer. Lowering the height of the solution container will reduce the flow rate of the enema solution, which can help alleviate abdominal cramps. A slower flow rate is less likely to cause cramping and discomfort.

Choice D Reason:

Allowing the client to expel some fluid before continuing can help relieve discomfort, but it is not the most immediate or effective action. Adjusting the flow rate by lowering the height of the solution container is a more direct way to address the issue.