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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
A. Wheezing: Wheezing is not a typical symptom of allergic rhinitis. It is more commonly associated with asthma or other lower respiratory conditions.
B. Sneezing: Sneezing is a common symptom of allergic rhinitis. It is often triggered by exposure to allergens such as pollen, dust mites, or pet dander.
C. Watery eyes: Watery eyes, also known as allergic conjunctivitis, frequently accompany allergic rhinitis. This symptom occurs due to inflammation of the conjunctiva in response to allergen exposure.
D. Nasal congestion: Nasal congestion, or a stuffy nose, is a hallmark symptom of allergic rhinitis. It occurs as a result of inflammation and swelling of the nasal mucosa in response to allergens.
E. Urticaria: Urticaria, commonly referred to as hives, may occur in some individuals with allergic rhinitis. However, it is more commonly associated with other types of allergic reactions, such as food allergies or drug allergies.
Correct Answer is ["B","D"]
Explanation
A. Diabetes: Diabetes is not typically a contraindication for decongestant use. However, patients with diabetes should be cautious with decongestants that contain sugar or other ingredients that may affect blood glucose levels.
B. Hypertension: Decongestants can cause vasoconstriction and increase blood pressure, which may exacerbate hypertension. Patients with hypertension should use decongestants cautiously and under the guidance of a healthcare provider.
C. Hyperthyroidism: While decongestants can stimulate the sympathetic nervous system and may exacerbate symptoms of hyperthyroidism such as tachycardia and palpitations, hyperthyroidism is not typically considered a contraindication for decongestant use. However, patients with hyperthyroidism should use decongestants cautiously and consult with their healthcare provider.
D. Heart disease: Decongestants can increase heart rate and blood pressure, potentially worsening symptoms in patients with heart disease such as coronary artery disease, heart failure, or arrhythmias. Patients with heart disease should use decongestants cautiously and consult with their healthcare provider before use.
E. Allergic rhinitis: Decongestants are often used to relieve nasal congestion associated with allergic rhinitis. While patients with allergic rhinitis may use decongestants, they should still use them cautiously and follow the recommended dosage instructions.
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