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 ["28"]

Explanation

To calculate the IV infusion rate in drops per minute (gtt/min), you can use the following formula:

IV infusion rate (gtt/min) =(Total volume (mL)×Drop factor (gtt/mL)) / Total time (min)

Given:

Total volume = 1000 mL

Drop factor = 10 gtt/mL

Total time = 6 hours = 6 hours × 60 minutes/hour = 360 minutes

Substitute the given values into the formula:

IV infusion rate (gtt/min) = (1000mL×10gtt/mL)/360 min

IV infusion rate (gtt/min) = 10,000/360

IV infusion rate (gtt/min)≈27.78gtt/min

Rounding to the nearest whole number, the IV infusion rate is approximately 28 gtt/min

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

Correct Answer is D

Explanation

A) Montelukast:
Montelukast is a leukotriene receptor antagonist used for the long-term control and prevention of asthma symptoms, but it is not typically used as a rescue medication to abort an ongoing asthma attack. Its onset of action is slower compared to short-acting beta agonists like albuterol.

B) Fluticasone:
Fluticasone is an inhaled corticosteroid medication used for the long-term control and management of asthma symptoms by reducing airway inflammation and preventing asthma exacerbations. It is not used as a rescue medication to abort an ongoing asthma attack but rather as a controller medication to prevent symptoms when used regularly over time.

C) Cromolyn:
Cromolyn is a mast cell stabilizer medication that is used for the prevention of asthma symptoms and exercise-induced bronchospasm. It is not typically used as a rescue medication to abort an ongoing asthma attack but rather as a controller medication to prevent symptoms when used regularly over time.

D) Albuterol.
Albuterol is a short-acting beta agonist bronchodilator commonly used as a rescue or reliever medication for acute asthma symptoms or to abort an ongoing asthma attack. It works quickly to relax the smooth muscles of the airways, leading to rapid bronchodilation and relief of symptoms such as wheezing, shortness of breath, and chest tightness. Albuterol is considered a first-line medication for relieving acute asthma symptoms and should be used as directed by a healthcare provider during an asthma exacerbation.

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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 ["28"]

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

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?

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