The nurse explains to the client why inhalation medications work rapidly. What should the nurse include in the teaching? (Select All that Apply.)

The inside surface of the lungs is small, and the dose is concentrated in that area.

There is a large surface area inside the lungs.

Inhaled medications are given at very high doses.

Inhaled medications are given with food.

There is a rich blood supply to the lungs.

Answer and Explanation

Correct Answer : A,B,E

A. The inside surface of the lungs is small, and the dose is concentrated in that area: Inhalation medications are delivered directly to the lungs, where they are rapidly absorbed due to the small surface area and the close proximity of the medication to the lung tissue.

B. There is a large surface area inside the lungs: The lungs have a large surface area for gas exchange, allowing for efficient absorption of inhaled medications into the bloodstream.

C. Inhaled medications are given at very high doses: Inhaled medications are typically given at therapeutic doses appropriate for the patient's condition. While they may be given in higher doses compared to oral medications in some cases, the dosage is carefully adjusted based on factors such as the patient's age, weight, and severity of the condition.

D. Inhaled medications are given with food: Inhaled medications are typically administered separately from meals. Food can interfere with the absorption of inhaled medications and may affect their effectiveness.
E. There is a rich blood supply to the lungs: The lungs have a rich network of blood vessels, known as pulmonary capillaries, which allows for rapid absorption of inhaled medications into the bloodstream.

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Correct Answer is C

Explanation

A) Increase dosing with a large meal:
Increasing the dosing with a large meal may not be appropriate as it could lead to overdosing and potential side effects. The dosage of pancrelipase should be determined by the healthcare provider based on the individual's needs and response to treatment.

B) Take the medication at least 2 hours prior to meals:
Taking the medication prior to meals may not be effective as the enzymes will not be available when food is consumed, which defeats the purpose of enzyme replacement therapy. The enzymes need to be present simultaneously with the food to aid in digestion.

C) Take the medication with meals.
Pancrelipase, such as Cotazym, is a pancreatic enzyme replacement therapy used to aid in the digestion of fats, proteins, and carbohydrates in individuals with pancreatic insufficiency. Taking the medication with meals is crucial because it helps to ensure that the enzymes are available to aid in the digestion of food. Without proper enzyme supplementation during meals, individuals with pancreatic insufficiency may experience malabsorption, leading to nutritional deficiencies and gastrointestinal symptoms.

D) Decrease fluid intake:
Decreasing fluid intake is not appropriate as it could lead to dehydration and may not have any significant impact on the efficacy of pancrelipase. In fact, adequate fluid intake is important for digestion and overall health.

A. Treatment with PPIs to decrease stomach acid B. Treatment with stimulant laxatives C. Replacement therapy with pancreatic enzymes D. Decrease food intake

Correct Answer is C

Explanation

A) Treatment with PPIs to decrease stomach acid:
Proton-pump inhibitors (PPIs) are used to decrease stomach acid production and are commonly prescribed for conditions such as gastroesophageal reflux disease (GERD) and peptic ulcers. However, they do not address the underlying cause of pancreatic insufficiency, which is the deficiency of pancreatic enzymes.

B) Treatment with stimulant laxatives:
Stimulant laxatives are used to stimulate bowel movements and are not indicated for the treatment of pancreatic insufficiency. Pancreatic insufficiency primarily affects the digestion of nutrients rather than bowel motility.

C) Replacement therapy with pancreatic enzymes.
Pancreatic insufficiency occurs when the pancreas does not produce enough digestive enzymes to properly digest food, leading to malabsorption of nutrients. Replacement therapy with pancreatic enzymes is the mainstay of treatment for pancreatic insufficiency. These enzymes, often prescribed in the form of pancreatic enzyme replacement therapy (PERT), help to supplement the deficient enzymes and aid in the digestion of fats, proteins, and carbohydrates.

D) Decrease food intake:
Decreasing food intake is not an appropriate treatment for pancreatic insufficiency. In fact, individuals with pancreatic insufficiency may need to increase their food intake to compensate for malabsorption and ensure adequate nutrition. Restricting food intake would worsen nutritional deficiencies and symptoms associated with malabsorption.

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The nurse explains to the client why inhalation medications work rapidly. What should the nurse include in the teaching? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which instruction is most appropriate for a client who is prescribed pancrelipase (Cotazym)?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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