The nurse is performing discharge teaching to a client diagnosed with chronic pancreatitis. Which statement by the client indicates an understanding of home management of the condition?

Select all that apply.
  1. “I should avoid large, heavy meals.”
  2. “I can have an occasional glass of red wine.”
  3. “I can resume my daily jogging once I get home.”
  4. “I should avoid smoking and caffeinated beverages.”
  5. “I should add extra spices to my food to make it taste better.”
Numbers 1 and 4 are correct.
Rationale: Home management of chronic pancreatitis includes eating small meals throughout the day and avoiding heavy meals. Nicotine and caffeine can worsen symptoms. Alcohol contributes to flare-ups and should be avoided. The client should rest frequently until full strength has returned and the health care provider has approved of vigorous activity. Spicy foods stimulate the GI tract and should be avoided. Bland, high-protein, low-fat, and moderate-carbohydrate meals and snacks are the best for the client.