Author Question: A patient with chronic pancreatitis is prescribed pancrelipase (Lipancreatin). What should the nurse ... (Read 41 times)

@Brianna17 · **on:** Jun 25, 2018

A patient with chronic pancreatitis is prescribed pancrelipase (Lipancreatin). What should the nurse instruct the patient about this medication?

Select all that apply.

1. Take the medication with meals or snacks.
2. Take the medication with milk or ice cream.
3. Stop taking the medication if bowel movements increase.
4. Do not crush enteric coated doses of the medication.
5. Take this medication until advised otherwise by the healthcare provider.

Question 2

The nurse is concerned that a patient with injuries from a motor vehicle crash is experiencing bleeding from liver trauma. What did the nurse assess to make this clinical determination?

Select all that apply.

1. new onset of pruritus
2. new onset of lightheadedness
3. heart rate 112 beats per minute
4. requesting more water to drink
5. respiratory rate 26 breaths per minute

kaykay69 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1, 4, 5
Pancrelipase enhances the digestion of starches and fats in the gastrointestinal tract by supplying an exogenous source of the enzymes protease, amylase, and lipase. The drug promotes nutrition and decreases the number of bowel movements. This medication should be taken with meals or snacks but should not be taken with alkaline foods such as milk or ice cream. Enteric coated doses of this medication should not be crushed. This medication should be taken until advised otherwise by the healthcare provider.

Answer to Question 2

Correct Answer: 2, 3, 4, 5
Bleeding due to liver trauma may not be immediately apparent. The nurse should suspect bleeding in the presence of light-headedness, rapid heart rate, shortness of breath, or thirst. Pruritus is not a manifestation of bleeding.