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 A
Explanation
Choice A rationale:
An increasing pulse rate suggests that the patient's condition is worsening. Tachycardia can indicate increased work of breathing and decreased oxygenation, which are concerning signs in laryngotracheobronchitis.
Choice B rationale:
Mouth breathing is a common response to airway obstruction, such as in laryngotracheobronchitis. While it indicates respiratory distress, it doesn't specifically suggest a worsening of the condition.
Choice C rationale:
An increase in nasal discharge might be seen with the common cold or other upper respiratory infections but is not a specific indicator of worsening laryngotracheobronchitis.
Choice D rationale:
A hoarse cry is a characteristic symptom of laryngotracheobronchitis due to inflammation of the airway. However, it is a common initial symptom and may not directly correlate with worsening of the condition.
Correct Answer is A
Explanation
Dust the child's room with a damp cloth every week.
Choice A rationale:
Dusting the child's room with a damp cloth weekly is the most appropriate strategy. This minimizes allergen exposure by capturing and removing dust particles instead of dispersing them, as dry dusting might. Consistent, thorough cleaning can help prevent exacerbations.
Choice B rationale:
Providing down pillows might aggravate allergies due to their potential to harbor dust mites and allergens, worsening the child's asthma symptoms.
Choice C rationale:
Using a warm mist humidifier could promote mold growth and allergen accumulation in the room, potentially worsening asthma symptoms rather than alleviating them.
Choice D rationale:
Encouraging the child to go outside in cold air during an asthma attack is not recommended. Cold air can trigger bronchospasms and worsen asthma symptoms, making this strategy potentially harmful.
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