A client has been diagnosed with pancreatic insufficiency. Which treatment option does the nurse anticipate for this client?

Treatment with PPIs to decrease stomach acid

Treatment with stimulant laxatives

Replacement therapy with pancreatic enzymes

Decrease food intake

Answer and Explanation

The Correct Answer is C

A) Treatment with PPIs to decrease stomach acid:
Proton-pump inhibitors (PPIs) are used to decrease stomach acid production and are commonly prescribed for conditions such as gastroesophageal reflux disease (GERD) and peptic ulcers. However, they do not address the underlying cause of pancreatic insufficiency, which is the deficiency of pancreatic enzymes.

B) Treatment with stimulant laxatives:
Stimulant laxatives are used to stimulate bowel movements and are not indicated for the treatment of pancreatic insufficiency. Pancreatic insufficiency primarily affects the digestion of nutrients rather than bowel motility.

C) Replacement therapy with pancreatic enzymes.
Pancreatic insufficiency occurs when the pancreas does not produce enough digestive enzymes to properly digest food, leading to malabsorption of nutrients. Replacement therapy with pancreatic enzymes is the mainstay of treatment for pancreatic insufficiency. These enzymes, often prescribed in the form of pancreatic enzyme replacement therapy (PERT), help to supplement the deficient enzymes and aid in the digestion of fats, proteins, and carbohydrates.

D) Decrease food intake:
Decreasing food intake is not an appropriate treatment for pancreatic insufficiency. In fact, individuals with pancreatic insufficiency may need to increase their food intake to compensate for malabsorption and ensure adequate nutrition. Restricting food intake would worsen nutritional deficiencies and symptoms associated with malabsorption.

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Correct Answer is D

Explanation

A) H2-receptor blockers:
H2-receptor blockers, such as ranitidine and famotidine, are commonly used to reduce stomach acid production and treat peptic ulcer disease. They help promote ulcer healing and alleviate symptoms. These medications are generally safe and appropriate for use in clients with peptic ulcer disease.

B) Antacids:
Antacids are medications that neutralize stomach acid and provide symptomatic relief from peptic ulcer disease. While they do not directly treat the underlying cause of the ulcer, they can help alleviate symptoms such as pain and discomfort. Antacids are generally safe for use in clients with peptic ulcer disease.

C) PPIs (Proton Pump Inhibitors):
PPIs, such as omeprazole and pantoprazole, are potent acid-suppressing medications commonly used to treat peptic ulcer disease and gastroesophageal reflux disease (GERD). They are effective at reducing stomach acid production and promoting ulcer healing. PPIs are generally safe and appropriate for use in clients with peptic ulcer disease.

D) NSAIDs (Nonsteroidal Anti-Inflammatory Drugs).
NSAIDs, such as ibuprofen, aspirin, and naproxen, can exacerbate peptic ulcer disease by increasing the risk of gastric irritation, erosion, and ulceration. These medications inhibit the production of prostaglandins, which help protect the stomach lining. Chronic or excessive use of NSAIDs can lead to the development of new ulcers or worsening of existing ulcers. Therefore, clients with peptic ulcer disease are typically advised to avoid NSAIDs or to use them with caution under the guidance of a healthcare provider.

Correct Answer is ["10"]

Explanation

To administer the correct dose of amoxicillin, the nurse needs to calculate the volume of suspension that contains the prescribed dose of 500 mg.

Since the available suspension has a concentration of 250 mg per 5 ml, the nurse can calculate the required volume using the formula: (prescribed dose/concentration) x volume of concentration = required volume.

Plugging in the numbers: (500 mg / 250 mg) x 5 ml = 2 x 5 ml = 10 ml.

Therefore, the nurse should administer 10 ml of the amoxicillin suspension to deliver a dose of 500 mg.

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A client has been diagnosed with pancreatic insufficiency. Which treatment option does the nurse anticipate for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who is being treated for peptic ulcer disease. Which medication should the client be taught to avoid?

Correct Answer is D

Explanation

A nurse is preparing to administer amoxicillin 500 mg PO to a client. The amount available is amoxicillin suspension 250 mg/5 ml. How should the nurse administer? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero)

Correct Answer is ["10"]

Explanation

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