The nurse is preparing a client presentation regarding pancrelipase (Viokase) therapy. Which information would the nurse include in the teaching session?

Fatty stools may result

Administer prior to antacids

Do not take with food

Rinse mouth after taking

Answer and Explanation

The Correct Answer is A

A)   Pancrelipase is an enzyme replacement therapy used to aid in the digestion of fats, proteins, and carbohydrates, and its use may lead to steatorrhea (fatty stools) as a common side effect.
B)   Pancrelipase is typically administered with meals or snacks to aid in digestion; there is no need to administer it prior to antacids.
C)   Pancrelipase is taken with meals or snacks to assist in digestion, so this statement is incorrect.
D)   There is no need to rinse the mouth after taking pancrelipase; it is a medication designed for oral ingestion.

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Correct Answer is C

Explanation

A) Pancrelipase may be prescribed to aid in digestion in chronic pancreatitis but is not typically used in the acute phase.
B) While ambulation may be encouraged as tolerated, it is not a specific prescription for acute pancreatitis.
C) Pantoprazole, a proton pump inhibitor, is often prescribed in acute pancreatitis to reduce gastric acid secretion, thereby reducing pancreatic stimulation and promoting healing.
D) In acute pancreatitis, dietary intake is typically restricted initially, often starting with nothing by mouth (NPO) and progressing to a clear liquid diet as tolerated; a low-residue diet is usually introduced at a later stage.

A. Auscultate lungs B. Monitor I&O C. Check stools for blood D. Initiate fall precautions

Correct Answer is C

Explanation

A) While important, it is not directly related to the coagulopathy indicated by the prolonged PT.
B) Important for overall fluid management but not directly related to the risk of bleeding.
C) With a significantly prolonged PT, assessing for signs of gastrointestinal bleeding is a priority.

D) Important for safety, but the immediate risk of bleeding due to coagulopathy takes precedence.

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The nurse is preparing a client presentation regarding pancrelipase (Viokase) therapy. Which information would the nurse include in the teaching session?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who has acute pancreatitis. Which of the following provider prescriptions should the nurse anticipate?

Correct Answer is C

Explanation

The nurse notes these laboratory results for a client with cirrhosis: PT 20 seconds (11-12.5 sec) and serum ammonia 35 mcg/dL (15-45 mcg/dL). What action by the nurse would be a priority?

Correct Answer is C

Explanation

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The nurse is making a home visit to a client with chronic pancreatitis. Which data is consistent with this diagnosis?

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A nurse is planning care for a client who has hepatitis B. Which of the following interventions should the nurse include in the plan?

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