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

Answer and Explanation

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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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.

A. Bradycardia, diarrhea, and flushing B. Urinary urgency, chills, and dizziness C. Pallor, sweating, and tachycardia D. Fever, hyperventilation, and bradycardia

Correct Answer is C

Explanation

A. Bradycardia, diarrhea, and flushing: Bradycardia is not typically associated with vomiting. Diarrhea is not a direct autonomic symptom of vomiting either.

B. Urinary urgency, chills, and dizziness: These symptoms are not typical of vomiting-related autonomic symptoms.

C. Pallor, sweating, and tachycardia: Pallor, sweating, and tachycardia are common autonomic responses to vomiting due to the body's stress response.

D. Fever, hyperventilation, and bradycardia: Fever and hyperventilation are not typically seen with vomiting. Bradycardia is less common in this context.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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