The nurse should evaluate that a teenager understands when to take prescribed pancreatic enzymes when the client makes which statement?

"I will take the enzymes with all my meals and snacks.”.

"I only need to take the enzymes with my meals.”.

"The enzymes are only necessary when I am experiencing complications.”.

"I will take my enzymes at night before I go to bed.".

Answer and Explanation

The Correct Answer is A

"I will take the enzymes with all my meals and snacks.”.

Choice A rationale:

Taking pancreatic enzymes with all meals and snacks is the correct approach. Pancreatic enzymes are essential for aiding digestion and should be taken whenever food is consumed to ensure proper nutrient absorption.

Choice B rationale:

Taking enzymes only with meals is insufficient. Snacks also require enzyme supplementation for effective digestion.

Choice C rationale:

Waiting for complications before taking enzymes is incorrect. Enzymes are necessary for every meal and snack to prevent malabsorption and digestive issues.

Choice D rationale:

Taking enzymes at night before bed is not recommended. Enzymes are needed when food is present in the stomach, which typically occurs during meals and snacks, not before bedtime.

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Correct Answer is B

Explanation

Choice A rationale:

A blood pressure of 110/68 mmHg is within the normal range for a 14-year-old and does not directly relate to the management of ulcerative colitis.

Choice B rationale:

Ulcerative colitis can lead to chronic inflammation and blood loss in the gastrointestinal tract, resulting in anemia. Monitoring the hemoglobin level is crucial to assess the severity of anemia and the need for interventions.

Choice C rationale:

While weight loss is a concern, hemoglobin level provides more direct information about the impact of ulcerative colitis on the client's health.

Choice D rationale:

Serum sodium level of 135 mEq/L is within the normal range and does not take precedence over addressing potential anemia and its impact on the client's well-being.

A. "We will return to the hospital if my child spits up blood.". B. "I'll give my child cherry gelatin since that is her favorite.". C. "We will return to the hospital if my child develops difficulty breathing.". D. "I'll have my child rinse her mouth frequently with water to prevent a bad breath odor.".

Correct Answer is B

Explanation

Choice A rationale:

Returning to the hospital if the child spits up blood is a correct response as it indicates the recognition of potential postoperative bleeding.

Choice B rationale:

Giving the child cherry gelatin, even though it's the child's favorite, might not be appropriate after a tonsillectomy/adenoidectomy, as certain foods can irritate the healing throat.

Choice C rationale:

Returning to the hospital if the child develops difficulty breathing is a necessary step to address any respiratory distress.

Choice D rationale:

Having the child rinse her mouth frequently with water to prevent a bad breath odor is a suitable suggestion to maintain oral hygiene and comfort after surgery. In all three scenarios, the rationale for the correct answers revolves around patient safety, comfort, and appropriate post-operative care. The incorrect choices in each question either introduce potential complications, misunderstandings, or actions that might compromise the patient's well-being.

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The nurse should evaluate that a teenager understands when to take prescribed pancreatic enzymes when the client makes which statement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of these assessments is the priority for a 14-year-old client diagnosed with ulcerative colitis?

Correct Answer is B

Explanation

The nurse is providing discharge instructions to the parent of a patient who had a tonsillectomy/adenoidectomy. Which statement would indicate that the parent needs further teaching?

Correct Answer is B

Explanation

When administering zidovudine to a patient with human immunodeficiency virus (HIV), which action should be the first priority for the nurse?

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