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 D

Explanation

The Z-track technique is an intramuscular injection technique used to prevent leakage to medication into the subcutaneous site after injection. It involves;

pulling the skin and subculture tissue about one inch away from the muscle
Insert the needle at 90 degrees
Needle inserted quickly and deeply
Remove the needle then release the skin
Do not massage or aspirate

A. "Clients who have glaucoma should not take warfarin." B. "Clients who have rheumatoid arthritis should not take warfarin." C. "Clients who are pregnant should not take warfarin." D. "Clients who have hyperthyroidism should not take warfarin."

Correct Answer is C

Explanation

Warfarin is a coumarin anticoagulant that has potential to increase the risk of bleeding. When taken during pregnancy, warfarin causes fetal bleeding. Warfarin is also teratogenic and it causes various birth defects including skeletal abnormalities, hypoplastic nose, intellectual disabilities and deafness hence it's contraindicated. Pregnant women who require anticoagulation are put of heparin in the place of warfarin to prevent these complications.
A. B, D - are not contraindications for warfarin use.

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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 preparing to use the Z-track technique to administer a medication to a client. Which of the following is an appropriate action during this procedure?

Correct Answer is D

Explanation

A nurse is educating a group of clients about the contraindications of warfarin therapy. Which of the following statements should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is caring for a client Who is postoperative following abdominal surgery and reports incisional pain. The surgeon has prescribed morphine 4 mg IV bolus every 6 hr as needed. Before administering this medication, the nurse should complete Which priority assessment?

A nurse is caring for a female client who has rheumatoid arthritis and asks the nurse if it is safe for her to take aspirin. The nurse should recognize Which of the following findings in the client's history is a contraindication to this medication?

A nurse is teaching a client who has rheumatoid arthritis about taking methotrexate. Which of the following information should the nurse include?

A nurse is teaching a client Who has a new prescription for sucralfate to treat a gastric ulcer. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is providing teaching for a client who has diabetes and a new prescription for insulin glargine. Which of the following instructions should the nurse provide regarding this type of insulin?

A nurse is caring for a client Who has diabetes insipidus and is receiving vasopressin. The nurse should identify Which of the following findings as an indication that the medication is effective?

A nurse is reviewing discharge instructions with a client who has rheumatoid arthritis and a new prescription for prednisone. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is reviewing the medical record of a client who is to receive the first dose of cefoxitin via intermittent IV bolus. Which of the following findings should the nurse identify as a contraindication for the client to receive cefoxitin and report to the provider?