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A client newly diagnosed with pancreatitis asks how they acquired this disease when they do not drink alcohol. Which of the following should the nurse mention as a potential risk factor?

History of chronic hyperparathyroidism

Chronic hyperparathyroidism raises calcium levels in the blood, and high calcium is a recognized trigger for pancreatitis. The excess calcium can promote premature activation of pancreatic enzymes and injury to the pancreatic tissue, leading to inflammation even without alcohol use. Explaining this helps a patient understand a nonalcoholic pathway to the disease. Regular exercise or a low-fat diet do not cause pancreatitis, and while smoking is a risk factor, the nonalcoholic metabolic cause highlighted here is hyperparathyroidism-driven hypercalcemia. Treating the underlying hyperparathyroidism is important to prevent future episodes.

Regular exercise

Low fat diet

Smoking

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