When a client with cystic fibrosis is prescribed pancreatic enzymes, what is the best time for the nurse to administer them to the client?
Between meals.
Before meals.
During meals.
After meals.
The Correct Answer is B
Choice A rationale:
Administering pancreatic enzymes between meals may not provide the necessary digestive support when food is introduced to the gastrointestinal tract. These enzymes are meant to aid in digestion, so administering them between meals might not be as effective as when taken in conjunction with food.
Choice B rationale:
Administering pancreatic enzymes before meals is the most appropriate time because it helps replace the missing enzymes in patients with cystic fibrosis. These enzymes aid in breaking down food and absorbing nutrients, compensating for the deficient pancreatic function. By giving the enzymes before meals, the body has the necessary support to digest the incoming food.
Choice C rationale:
While administering enzymes during meals might seem logical, it's actually less effective. The enzymes need time to mix with the ingested food before it enters the small intestine, where digestion primarily occurs.
Choice D rationale:
Administering pancreatic enzymes after meals wouldn't be as effective because the enzymes need to be present when food enters the stomach and begins the digestive process.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
While maintaining a moist oral mucosa is important, preventing infection takes precedence, as infections can lead to serious complications and compromise overall health.
Choice B rationale:
Increasing physical mobility is a valid goal, but infection prevention is more critical, especially when starting prednisone therapy, which can weaken the immune response.
Choice C rationale:
The priority lies in keeping the patient free of infection. Prednisone can suppress the immune system, making the patient more susceptible to infections that can have severe consequences.
Choice D rationale:
Ingesting a moderate potassium diet is important, but the prevention of infection takes precedence due to the potential for serious health risks associated with compromised immunity.
Correct Answer is A
Explanation
An hour before meals and at bedtime.
Choice A rationale:
Scheduling chest physiotherapy an hour before meals and at bedtime is optimal. This timing helps prevent aspiration during meals and aids in clearing secretions before sleep. It complements the patient's meal schedule and sleep routine.
Choice B rationale:
Every six hours around the clock could disrupt the patient's sleep and meal times. Chest physiotherapy might not align well with the patient's daily activities, potentially affecting treatment compliance and effectiveness.
Choice C rationale:
Performing chest physiotherapy upon awakening and after meals might increase the risk of aspiration during meals. Clearing airways before meals is safer, and performing it right after meals could cause discomfort.
Choice D rationale:
Evenly spaced physiotherapy when awake lacks synchronization with meal and sleep times. This approach might not optimize treatment effects and patient convenience.
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