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

Treatment with PPIs to decrease stomach acid

Treatment with stimulant laxatives

Replacement therapy with pancreatic enzymes

Decrease food intake

Answer and Explanation

The Correct Answer is C

A) Treatment with PPIs to decrease stomach acid:
Proton-pump inhibitors (PPIs) are used to decrease stomach acid production and are commonly prescribed for conditions such as gastroesophageal reflux disease (GERD) and peptic ulcers. However, they do not address the underlying cause of pancreatic insufficiency, which is the deficiency of pancreatic enzymes.

B) Treatment with stimulant laxatives:
Stimulant laxatives are used to stimulate bowel movements and are not indicated for the treatment of pancreatic insufficiency. Pancreatic insufficiency primarily affects the digestion of nutrients rather than bowel motility.

C) Replacement therapy with pancreatic enzymes.
Pancreatic insufficiency occurs when the pancreas does not produce enough digestive enzymes to properly digest food, leading to malabsorption of nutrients. Replacement therapy with pancreatic enzymes is the mainstay of treatment for pancreatic insufficiency. These enzymes, often prescribed in the form of pancreatic enzyme replacement therapy (PERT), help to supplement the deficient enzymes and aid in the digestion of fats, proteins, and carbohydrates.

D) Decrease food intake:
Decreasing food intake is not an appropriate treatment for pancreatic insufficiency. In fact, individuals with pancreatic insufficiency may need to increase their food intake to compensate for malabsorption and ensure adequate nutrition. Restricting food intake would worsen nutritional deficiencies and symptoms associated with malabsorption.

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Correct Answer is C

Explanation

To calculate the rate of administration in milliliters per hour (mL/hr):

Given the total volume to be infused: 1000 mL

Given the total time for infusion: 5 hours

Divide the total volume by the total time to find the rate of administration per hour:

1000 mL ÷ 5 hours = 200 mL/hr

Therefore, the rate of administration will be 200 mL/hr.

To calculate the rate of administration in drops per minute (drops/min):

Given the drop factor: 15 drops/mL

Given the total volume to be infused: 1000 mL

Given the total time for infusion: 5 hours

First, find the total drops:

Total drops = Total volume × Drop factor

Total drops = 1000 mL × 15 drops/mL = 15,000 drops

Next, find the rate of drops per minute:

Rate of drops per minute = Total drops ÷ Total time in minutes

As there are 5 hours in total, we multiply by 60 to convert hours to minutes:

Rate of drops per minute = 15,000 drops ÷ (5 hours × 60 minutes/hour) = 50 drops/min

Therefore, the rate of administration will be 200 mL/hr and 50 drops/min.

A. 250 mL/hr and 45 drops/min B. 200 mL/hr and 45 drops/min C. 200 mL/hr and 50 drops/min D. 250 mL/hr and 50 drops/min

Correct Answer is C

Explanation

To calculate the rate of administration in milliliters per hour (mL/hr):

First, find the total volume to be infused: 1000 mL

Next, divide the total volume by the total time in hours: 1000 mL ÷ 5 hours = 200 mL/hr

Therefore, you will administer the solution at a rate of 200 mL/hr.

To calculate the rate of administration in drops per minute (drops/min):

First, find the total drops: 1000 mL × 15 drops/mL = 15,000 drops

Next, divide the total drops by the total time in minutes: 15,000 drops ÷ (5 hours × 60 minutes/hour) = 50 drops/min

Therefore, you will administer the solution at a rate of 200 mL/hr and 50 drops/min.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

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?

Correct Answer is C

Explanation

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