Which instruction is most appropriate for a client who is prescribed pancrelipase (Cotazym)?

Increase dosing with a large meal

Take the medication at least 2 hours prior to meals

Take the medication with meals

Decrease fluid intake

Answer and Explanation

The Correct Answer is C

A) Increase dosing with a large meal:
Increasing the dosing with a large meal may not be appropriate as it could lead to overdosing and potential side effects. The dosage of pancrelipase should be determined by the healthcare provider based on the individual's needs and response to treatment.

B) Take the medication at least 2 hours prior to meals:
Taking the medication prior to meals may not be effective as the enzymes will not be available when food is consumed, which defeats the purpose of enzyme replacement therapy. The enzymes need to be present simultaneously with the food to aid in digestion.

C) Take the medication with meals.
Pancrelipase, such as Cotazym, is a pancreatic enzyme replacement therapy used to aid in the digestion of fats, proteins, and carbohydrates in individuals with pancreatic insufficiency. Taking the medication with meals is crucial because it helps to ensure that the enzymes are available to aid in the digestion of food. Without proper enzyme supplementation during meals, individuals with pancreatic insufficiency may experience malabsorption, leading to nutritional deficiencies and gastrointestinal symptoms.

D) Decrease fluid intake:
Decreasing fluid intake is not appropriate as it could lead to dehydration and may not have any significant impact on the efficacy of pancrelipase. In fact, adequate fluid intake is important for digestion and overall health.

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Correct Answer is ["5"]

Explanation

To determine how many hours it will take for the IV pump to infuse the 1000 mL bag of 0.9% sodium chloride at a rate of 200 mL/hr, we can use the following formula:

Time (hr) = Volume (mL)/Rate (mL/hr)

Given:

Volume = 1000 mL

Rate = 200 mL/hr

Substitute the given values into the formula:

Time (hr)=1000 mL/200 mL/hr

Time (hr)=5hours

Rounding to the nearest whole number, the IV pump will infuse over 5 hours.

Therefore, the nurse should expect the IV pump to infuse over 5 hours.

A. Montelukast B. Fluticasone C. Cromolyn D. Albuterol

Correct Answer is D

Explanation

A) Montelukast:
Montelukast is a leukotriene receptor antagonist (LTRA) used as a controller or maintenance medication for asthma. It is not used for the immediate relief of asthma symptoms during an acute attack. Montelukast is taken regularly to prevent asthma symptoms and reduce the frequency of asthma attacks, but it does not provide rapid relief during an ongoing attack.

B) Fluticasone:
Fluticasone is an inhaled corticosteroid (ICS) used as a controller medication for asthma. It works by reducing airway inflammation and is taken regularly to control asthma symptoms and prevent exacerbations. Fluticasone is not used for the immediate relief of acute asthma symptoms and is not suitable for aborting an ongoing asthma attack.

C) Cromolyn:
Cromolyn is a mast cell stabilizer used as a controller medication for asthma. It helps prevent the release of inflammatory substances that contribute to asthma symptoms. Cromolyn is taken regularly to prevent asthma symptoms and reduce the frequency of asthma attacks but is not used for the immediate relief of acute asthma symptoms like albuterol.

D) Albuterol.
Albuterol is a short-acting beta agonist (SABA) bronchodilator used for the quick relief of asthma symptoms during an acute asthma attack or exacerbation. It works rapidly to relax the smooth muscles in the airways, opening them up and relieving bronchoconstriction, which improves airflow and alleviates symptoms such as wheezing, shortness of breath, and chest tightness. Albuterol is typically administered via inhalation through a metered-dose inhaler (MDI) or a nebulizer.

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Which instruction is most appropriate for a client who is prescribed pancrelipase (Cotazym)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["5"]

Explanation

A nurse is reinforcing teaching to a school-age child who has asthma. Which of the following medications should the nurse instruct the child to use to abort an ongoing attack?

Correct Answer is D

Explanation

After administering an inotropic medication to a patient in shock, the nurse monitors the patient for signs of:

The healthcare provider has ordered 1000 mL of 0.9% sodium chloride to be administered intravenously over 5 hours. The drop factor on the tubing is 15 drops/mL. How many milliliters per hour will you administer and how many drops per minute?

The nurse explains to the client the different ways to administer inhalation medications. Which administration technique should be included in the teach session? (Select All that Apply.)

A nurse is preparing to administer diphenhydramine to a client who is to receive a blood transfusion. The nurse should explain that the purpose diphenhydramine is to prevent which of the following manifestations of a transfusion reaction?

In reviewing a plan of care for a patient exhibiting the symptoms of anaphylaxis, which of the following medications would be avoided?

A client has been diagnosed with pancreatic insufficiency. Which treatment option does the nurse anticipate for this client?

A nurse is preparing to administer 1.000 mL of lactated Ringer's IV over 6 hr. The drop factor of the manual IV tubing is 10 gtt/mL. The set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it appl use a trailing zero.)