Author Question: After teaching a client who is prescribed pancreatic enzyme replacement therapy, the nurse assesses ... (Read 93 times)

ashley · **on:** Jun 25, 2018

After teaching a client who is prescribed pancreatic enzyme replacement therapy, the nurse assesses the client's understanding. Which statement made by the client indicates a need for additional teaching?

a. The capsules can be opened and the powder sprinkled on applesauce if needed.
b. I will wipe my lips carefully after I drink the enzyme preparation.
c. The best time to take the enzymes is immediately after I have a meal or a snack.
d. I will not mix the enzyme powder with food or liquids that contain protein.

Question 2

A nurse prepares to assess the emotional state of a client with end-stage pancreatic cancer. Which action should the nurse take first?

a. Bring the client to a quiet room for privacy.
b. Pull up a chair and sit next to the client's bed.
c. Determine whether the client feels like talking about his or her feelings.
d. Review the health care provider's notes about the prognosis for the client.

cclemon1 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: C
The enzymes should be taken immediately before eating meals or snacks. If the client cannot swallow the capsules whole, they can be opened up and the powder sprinkled on applesauce, mashed fruit, or rice cereal. The client should wipe his or her lips carefully after drinking the enzyme preparation because the liquid could damage the skin. Protein items will be dissolved by the enzymes if they are mixed together.

Answer to Question 2

ANS: C
Before conducting an assessment about the client's feelings, the nurse should determine whether he or she is willing and able to talk about them. If the client is open to the conversation and his or her room is not appropriate, an alternative meeting space may be located. The nurse should be present for the client during this time, and pulling up a chair and sitting with the client indicates that presence. Because the nurse is assessing the client's response to a terminal diagnosis, it is not necessary to have detailed information about the projected prognosis; the nurse knows that the client is facing an end-of-life illness.