After teaching a client who is prescribed pancreatic enzyme replacement therapy, the nurse assesses the client's understanding. Which statement by the client indicates a need for further teaching?
"The capsules can be opened and the powder sprinkled on applesauce if needed."
"I will wipe my lips carefully after I drink the enzyme preparation."
"The best time to take the enzymes is immediately after I have a meal or a snack."
"I will not mix the enzyme powder with food or liquids that contain protein."
The Correct Answer is C
A. Enzyme capsules can be opened and the contents sprinkled on soft, acidic foods like applesauce to aid in swallowing.
B. Wiping the lips helps prevent skin irritation from the enzymes.
C. This indicates a need for further teaching. Enzymes should be taken with meals or immediately before eating—not after—so they can mix properly with food in the digestive tract.
D. Enzyme powder should not be mixed with protein-containing foods or liquids, as it may break down the proteins before ingestion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Delaying feeding for 6 hours is unnecessary and can lead to increased irritability and hunger; feedings are usually resumed within a few hours post-op once the infant is alert.
B. Thinning formula with water is not appropriate and may disturb the electrolyte balance.
C. Thickened feedings are used to manage reflux, not after pyloric stenosis surgery.
D. Starting with small amounts of glucose water is the standard post-operative feeding approach. It is well tolerated and allows assessment of feeding readiness before progressing to formula or breast milk.
Correct Answer is ["B","C","E"]
Explanation
A. Left lower quadrant pain is not typical. Appendicitis usually presents with right lower quadrant pain (McBurney’s point).
B. Guarding is a common sign of abdominal irritation or inflammation and is expected with appendicitis.
C. Rebound tenderness, where pain intensifies when pressure is released, is a classic sign of peritoneal irritation caused by appendicitis.
D. C-reactive protein (CRP) typically increases with inflammation; a decrease would not be expected in active appendicitis.
E. Pain on lifting the thigh when supine (the psoas sign) suggests irritation of the iliopsoas muscle, often seen in retrocecal appendicitis.
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