Which diagnostic finding is related to the accumulation of the products of inflammation during typical pneumonia?

A. Increased chloride levels, also known as hyperchloremia, can occur in metabolic acidosis as part of the body's attempt to balance acid-base status.

B. All of the options listed contribute to metabolic acidosis. Increased metabolic acids, decreased bicarbonate, and increased chloride levels can all be present in metabolic acidosis, making this the correct answer.

C. Increased metabolic acids, such as lactic acid or ketoacids, are a key feature of metabolic acidosis.

D. In metabolic acidosis, bicarbonate levels decrease as the body compensates by buffering excess acid with available bicarbonate.

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.