A nurse is providing information on the medication Pancrease (lipase, protease, amylase) to a patient diagnosed with pancreatitis. Which important instruction should the nurse be sure to include?
Sprinkle on warm food
Take before meals
Take 1 hour after eating
Mix with juice
The Correct Answer is B
A. Sprinkle on warm food: Pancreatic enzyme replacement therapy should not be sprinkled on warm food, as heat can destroy the enzymes and reduce their effectiveness.
B. Take before meals: Pancrease (lipase, protease, amylase) is typically taken before meals or snacks to help with the digestion of food. It should be taken with food to assist in breaking down fats, proteins, and carbohydrates.
C. Take 1 hour after eating: Enzymes are most effective when taken before or during meals, not after.
D. Mix with juice: Mixing the medication with juice is not recommended because juices (especially acidic ones like orange juice) may alter the effectiveness of the enzymes.
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Related Questions
Correct Answer is C
Explanation
A. Lying down 1 hour after eating: Lying down after eating can worsen symptoms of heartburn and acid reflux, so it is generally discouraged for patients with hiatal hernia.
B. Eating three well-balanced meals: While eating balanced meals is important, it's not specifically recommended for reducing heartburn or regurgitation in patients with a hiatal hernia. Smaller, more frequent meals are generally better.
C. Eating nothing for several hours before bedtime: Avoiding food for several hours before bedtime allows the stomach to empty, reducing the risk of acid reflux, heartburn, and regurgitation.
D. Sleeping without pillows: Patients with hiatal hernias are often advised to sleep with the head elevated (using pillows) to prevent acid reflux while sleeping.
Correct Answer is B
Explanation
A. Lie on the right side after meals: This position is not effective in reducing regurgitation. Lying on the left side or maintaining an upright position after eating is generally better for avoiding reflux.
B. Eat only small meals: Smaller meals reduce the risk of overfilling the stomach, which helps minimize regurgitation and pressure on the esophageal stent.
C. Keep the bed flat: Keeping the bed flat increases the risk of regurgitation by allowing stomach contents to flow backward into the esophagus.
D. Drink three glasses of fluid with each meal: Excessive fluid during meals may increase stomach volume and the risk of regurgitation.
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