A nurse is administering pancrelipase to a child who has cystic fibrosis. Which of the following outcomes should the nurse expect as a therapeutic effect of the treatment?
Improved respiratory function
Decreased sodium excretion
Improved absorption of vitamins B and C
Reduced fat in the stools
The Correct Answer is D
a. Pancrelipase does not directly impact respiratory function. It is an enzyme replacement therapy used to aid digestion by compensating for the lack of pancreatic enzymes, not to improve lung function.
b. Cystic fibrosis affects sodium and chloride transport, leading to higher sodium levels in sweat. However, pancrelipase does not affect sodium excretion; it focuses on aiding digestion.
c. Pancrelipase helps with the digestion and absorption of fats and fat-soluble vitamins (A, D, E, K). Vitamins B and C are water-soluble and are not typically affected by the enzyme therapy used for fat digestion.
d. This is the correct answer. Pancrelipase contains enzymes (lipase, protease, and amylase) that help break down fats, proteins, and carbohydrates. In cystic fibrosis, pancreatic enzyme production is often insufficient, leading to malabsorption and steatorrhea (excessive fat in the stools). By providing the necessary enzymes, pancrelipase helps improve the digestion and absorption of dietary fats, reducing the fat content in the stools.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A.While increasing dietary fiber can help with constipation, a common side effect of iron supplements, it does not directly improve the absorption of the medication
B.Berries and citrus fruits, on the other hand, are good sources of vitamin C, which can actually enhance iron absorption. Therefore, eliminating them from the diet would not be beneficial for improving iron absorption.
C.The recommendation the nurse should make to improve the absorption of the iron supplement (ferrous sulfate) is to avoid drinking milk with the medication. Calcium in milk can interfere with the absorption of iron, so it is best to separate the consumption of these two substances.
D.Green tea contains compounds called tannins, which can interfere with iron absorption. Therefore, it is not recommended to take iron supplements with green tea.
Correct Answer is C
Explanation
Roasted Salmon
The nurse should include roasted salmon on the tray for the client who follows a kosher diet.
Kosher dietary laws prohibit the consumption of shellfish such as clams and shrimp, as well as pork products like pulled pork sandwiches. Roasted salmon, on the other hand, is a permissible food item in a kosher diet.
It's important for the nurse to be aware of the client's dietary restrictions and preferences to ensure that they receive appropriate and culturally sensitive care.
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