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 A

Explanation

A. Flush the tube: Flushing the tube before administering a feeding ensures that the tube is patent and free of blockages, which helps prevent aspiration or feeding tube complications.

B. Roll the patient flat: Rolling the patient flat is not necessary for administering a tube feeding, as most feeding tubes are positioned with the head of the bed elevated to reduce the risk of aspiration.

C. Check for a residual formula and return the residual to his or her stomach: While checking for residuals is important for assessing gastric emptying and tolerance to the feeding, it is not the first action before starting the feeding.

D. Place the end of the tube in water and check for bubbles: This action is used to check the placement of the tube (i.e., confirming it is in the stomach or intestine), but it’s not directly related to the initial steps before administering a feeding.

A. Abdominal tenderness B. Abdominal spasms C. Nausea D. Flatulence

Correct Answer is A

Explanation

A. Abdominal tenderness: This can indicate serious complications, such as bowel obstruction or perforation, and must be reported immediately.

B. Abdominal spasms: This is a common side effect of lactulose due to increased bowel motility but is not immediately concerning unless severe.

C. Nausea: A mild, common side effect of lactulose that usually resolves with continued use.

D. Flatulence: A common, benign side effect caused by fermentation of lactulose in the colon.

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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

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