A nurse is assessing a client who has pneumococcal pneumonia. Which of the following findings should the nurse expect?

A. Take on an empty stomach: Taking pancrelipase on an empty stomach would reduce its effectiveness because the enzymes need food in the stomach and small intestine to aid in digestion. Without food, nutrient absorption would remain impaired.

B. Take 1 hr before meals: Administering pancrelipase one hour before eating may result in the enzymes passing through the stomach without adequately mixing with food, decreasing digestive efficiency. Timing too far in advance is not recommended.

C. Take 1 hr after meals: Taking the enzyme an hour after eating delays digestion, as nutrients have already moved through the stomach and small intestine. This would reduce the effectiveness of the medication in aiding nutrient absorption.

D. Take with meals: Pancrelipase should be taken during meals or snacks to ensure the enzymes mix with food and facilitate proper digestion and absorption of nutrients. This timing maximizes the therapeutic benefit and helps prevent malnutrition associated with cystic fibrosis.

A. Portable suction: Portable suction is typically needed for clients who have airway clearance difficulties or excessive secretions. Infants with tetralogy of Fallot do not usually require suctioning at home unless another respiratory condition is present, so this equipment is not routinely indicated for discharge planning.

B. Cervical collar: A cervical collar is used for immobilization following trauma or cervical spine instability. There is no association between tetralogy of Fallot and spinal injuries, so this item would not be relevant or expected in the discharge needs of this infant.

C. Hemodialyzer: A hemodialyzer is used for clients requiring dialysis due to renal failure. Tetralogy of Fallot does not involve kidney dysfunction, and infants with this condition do not require dialysis equipment at home, making this option inappropriate.

D. Pulse oximeter: A pulse oximeter allows parents to monitor oxygen saturation levels at home, an essential need for infants with tetralogy of Fallot who are at risk for hypoxemia due to right-to-left shunting. Early detection of drops in oxygen saturation helps families respond promptly to cyanotic spells, making this the most appropriate equipment.