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 D
Explanation
Atorvastatin is a medication used to lower cholesterol levels in the blood. One of the potential adverse effects of atorvastatin is myopathy, a condition characterized by muscle pain, weakness, and tenderness. In severe cases, myopathy can progress to rhabdomyolysis, a potentially life-threatening condition in which muscle breakdown products are released into the bloodstream and can cause kidney damage.
Therefore, the nurse should instruct the client to monitor for muscle pain, weakness, or tenderness and report these symptoms to the healthcare provider immediately. Hypoglycemia, palpitations, and daytime drowsiness are not commonly associated with atorvastatin use and would not require immediate reporting to the healthcare provider.
Correct Answer is C
Explanation
During a seizure, the child's muscles may contract forcefully, which can lead to accidental biting of the tongue or inner cheek. Inspecting the child's mouth for any signs of injury, such as bleeding or lacerations, is important for assessing and addressing immediate needs.
Instead of placing the child in a supine position (flat on their back), it is recommended to position them on their side (recovery position) to help maintain an open airway and prevent aspiration in case of vomiting or secretions. This position also helps promote drainage of saliva or other fluids from the mouth.
Seizures can be frightening for both the child and their caregivers. Providing a calm and soothing environment, offering comfort, and reassuring the child and their family can help alleviate anxiety and promote a sense of safety.
Administering medication or offering fluids should be determined based on the healthcare provider's orders and individual circumstances. It is essential to consult with the healthcare team for specific instructions regarding medications and fluid management after a seizure episode.
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