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 B

Explanation

A) Antihistamines:
Antihistamines are commonly used in the treatment of allergic reactions, including anaphylaxis. They work by blocking the effects of histamine, which is released during an allergic reaction, and can help alleviate symptoms such as itching, hives, and nasal congestion. Antihistamines are typically included in the treatment regimen for anaphylaxis but should not be relied upon as the sole treatment.

B) Vasodilators.
Vasodilators are medications that widen blood vessels, leading to a decrease in blood pressure. In the context of anaphylaxis, where blood pressure can drop precipitously due to systemic vasodilation, the use of vasodilators can exacerbate hypotension, potentially worsening the patient's condition. Therefore, vasodilators should be avoided in the management of anaphylaxis.

C) Corticosteroids:
Corticosteroids, such as prednisone or methylprednisolone, are used in the management of anaphylaxis to reduce inflammation and prevent late-phase allergic reactions. They are not typically used as first-line treatment during the acute phase of anaphylaxis but may be administered after initial stabilization to prevent recurrence of symptoms.

D) Bronchodilators:
Bronchodilators, such as albuterol, are used to relieve bronchospasm and improve airflow in conditions such as asthma and chronic obstructive pulmonary disease (COPD). While bronchospasm can occur during anaphylaxis, bronchodilators may still be used to address this symptom. However, they should be used cautiously, and their administration should not delay the administration of epinephrine, which is the primary treatment for anaphylaxis.

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

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

Correct Answer is ["28"]

Explanation

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