The nurse is preparing a client presentation regarding pancrelipase (Viokase) therapy. Which information would the nurse include in the teaching session?

Fatty stools may result

Administer prior to antacids

Do not take with food

Rinse mouth after taking

Answer and Explanation

The Correct Answer is A

A)   Pancrelipase is an enzyme replacement therapy used to aid in the digestion of fats, proteins, and carbohydrates, and its use may lead to steatorrhea (fatty stools) as a common side effect.
B)   Pancrelipase is typically administered with meals or snacks to aid in digestion; there is no need to administer it prior to antacids.
C)   Pancrelipase is taken with meals or snacks to assist in digestion, so this statement is incorrect.
D)   There is no need to rinse the mouth after taking pancrelipase; it is a medication designed for oral ingestion.

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Correct Answer is A

Explanation

A) Chronic pancreatitis can lead to a decrease in enzyme production necessary for digestion, leading to malabsorption.
B) This does not typically cause malabsorption associated with chronic pancreatitis.

C) While it can occur with chronic pancreatitis, it does not directly cause malabsorption.
D) This is not related to the digestive malabsorption seen in chronic pancreatitis.

A. Breath with fecal odor B. Increasing confusion C. Serum ammonia level 72 mcg/dL (15-45 mcg/dL) D. Diarrhea

Correct Answer is D

Explanation

A) Breath with fecal odor could indicate hepatic encephalopathy, for which lactulose is indicated.
B) Increasing confusion is a symptom of hepatic encephalopathy suggests a need for lactulose.
C) Elevated ammonia levels indicate hepatic encephalopathy hence the need for lactulose.
D) If the client already has diarrhea, additional doses of lactulose (which acts as a laxative) could exacerbate this condition and might need to be adjusted or halted based on clinical judgment.

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The nurse is preparing a client presentation regarding pancrelipase (Viokase) therapy. Which information would the nurse include in the teaching session?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with chronic pancreatitis who exhibits signs of malabsorption. The nurse recognizes that this is due to which pathophysiology process?

Correct Answer is A

Explanation

A client with cirrhosis is scheduled to receive a third dose of lactulose (Cephulac) at 1800. Which current finding would cause the nurse to question administering this medication?

Correct Answer is D

Explanation

A client with a history of chronic pancreatitis reports weight loss of 10 pounds over the last month and foul smelling stools. What would be a priority action for the nurse to take?

The nurse is making a home visit to a client with chronic pancreatitis. Which data is consistent with this diagnosis?

The nurse is providing care to a client admitted with chronic pancreatitis. Which items are appropriate to include in the discharge teaching for this client? Select all that apply.

The nurse notes these laboratory results for a client with cirrhosis: PT 20 seconds (11-12.5 sec) and serum ammonia 35 mcg/dL (15-45 mcg/dL). What action by the nurse would be a priority?

The nurse is preparing a client presentation regarding pancrelipase (Viokase) therapy. Which information would the nurse include in the teaching session?

The nurse is preparing to administer spironolactone (Aldactone) and furosemide (Lasix) at 0900 to a client diagnosed with ascites. Review of 0600 laboratory results shows serum sodium 130 mEq/L (136-145 mEq/L) and potassium 3.1 mEq/L (3.5-5.0 mEq/L). Which action should the nurse take first?

Which question would the nurse ask to identify a risk factor for liver disease?