HESI RN MED SURG VERSION A & VERSION B LATEST FINAL EXAM UPDATED FOR 2025 GRADED A+ 100% CERTIFIED, ELABORATED & VERIFIED SOLUTIONS WITH RATIONALES TOP SCORE, EXAMS OF NURSING The nurse is assessing a client with acute pancreatitis. Which finding requires the most immediate intervention by the nurse? A. The client's amylase level is three times higher than the normal level. B. The client has a carpal spasm when taking a blood pressure. C. On a 1 to 10 scale, the client tells the nurse that her epigastric pain is at 7. D. The client states that she will continue to drink alcohol after going home. B The nurse is assessing a client with acute pancreatitis. Which finding requires the most immediate intervention by the nurse? Rationale:A positive Trousseau sign indicates hypocalcemia and always requires further assessment and intervention, regardless of the cause (40% to 75% of those with acute pancreatitis experience hypocalcemia, which can have serious, systemic effects). A key diagnostic finding of pancreatitis is serum amylase and lipase levels that are two to five times higher than the normal value. Severe boring pain is an expected symptom for this diagnosis, but dealing with the hypocalcemia is a