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 ["28"]
Explanation
To calculate the IV infusion rate in drops per minute (gtt/min), you can use the following formula:
IV infusion rate (gtt/min) =(Total volume (mL)×Drop factor (gtt/mL)) / Total time (min)
Given:
Total volume = 1000 mL
Drop factor = 10 gtt/mL
Total time = 6 hours = 6 hours × 60 minutes/hour = 360 minutes
Substitute the given values into the formula:
IV infusion rate (gtt/min) = (1000mL×10gtt/mL)/360 min
IV infusion rate (gtt/min) = 10,000/360
IV infusion rate (gtt/min)≈27.78gtt/min
Rounding to the nearest whole number, the IV infusion rate is approximately 28 gtt/min
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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