A nurse is teaching a client Who has a new prescription for pancrelipase to aid in digestion. The nurse should inform the client to expect which of the following gastrointestinal changes?

Decreased watery stools

Decreased black tarry stools

Decreased fat in stools

Decreased mucus in stools

Answer and Explanation

The Correct Answer is C

Pancrelipase is an enzyme replacement therapy used in pancreatic enzyme deficiency to aid in the digestion of fats, proteins, and carbohydrates. It improves digestion of fats facilitating absorption and reduced fat content in stool.
A. Decreased watery stools is not a typical effect of pancrelipase.
B. Decreased black tarry stools is not directly related to the action of pancrelipase, as it is more commonly associated with gastrointestinal bleeding.
D. Decreased mucus in stools is not specifically related to the action of pancrelipase.

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Correct Answer is C

Explanation

Docusate sodium is used as a stool softener in these cases to promote bowel movements. Adequate water intake increases hydration and also works synergistically to promote bowel movements increasing its effectiveness.
A. Taking docusate on an empty stomach is not necessary. It can be taken with or without food.
B. Abdominal pain is not a common side effect of docusate. In fact, it is usually well tolerated.
D. There is no specific requirement to avoid taking docusate before bedtime. It can be taken at any time of day as directed by the healthcare provider.

A. A client received crushed bupropion XL tablet mixed with applesauce. B. A nurse injected Demerol 1M into the vastus lateralis site of adult. C. A nurse used a 25-gauge inch needle to administer heparin injection. D. A client received gentamicin intermittent IV bolus over I hr.

Correct Answer is A

Explanation

Bupropion XL tablets should be taken whole. Crushing the tablet interferes with the pharmacokinetics of the drug leading to reduced efficacy and increased risk of toxicity. Administering bupropion XL inappropriately could result in harm to the client and should prompt the nurse to file an incident report to document the error and ensure appropriate follow-up and monitoring.

B. Meperidine is a commonly administered opioid analgesic and can be given intramuscularly in appropriate doses and sites.

C. Selection of the needle length and gauge depend on the route of administration and individual client's characteristics

D.Gentamicin can be administered by intermittent IV bolus over a prolonged period as part of its dosing regimen.

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A nurse is teaching a client Who has a new prescription for pancrelipase to aid in digestion. The nurse should inform the client to expect which of the following gastrointestinal changes?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has a new prescription for docusate. Which of the following information should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is reviewing the medication administration records from the previous shift. Which of the following findings should indicate to the nurse a need for an incident report?

Correct Answer is A

Explanation

A nurse is caring for a client who has a bacterial infection and is receiving gentamicin. Which of the following actions should the nurse take to minimize the risk of an adverse effect of the medication?

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A nurse is teaching a client how to draw up regular insulin and NPH insulin into the same syringe. Which of the following instructions should the nurse include?

A nurse is providing discharge instructions to a client who has asthma and is about to Start taking theophylline (Theo-24). The nurse should tell the client that this medication might cause which of the following adverse effects?

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