Author Question: Several clients are being seen in the emergency department for nausea and vomiting. Which clients ... (Read 71 times)

tuffie · **on:** Jul 23, 2018

Several clients are being seen in the emergency department for nausea and vomiting. Which clients are at an increased risk for dehydration and would require pharmacotherapy to treat this condition?

Standard Text: Select all that apply.
1. A 1-week-old neonate
2. A 2-year-old toddler
3. A 36-year-old female
4. A 22-year-old male
5. An 80-year-old female

Question 2

A client is being treated with pancreatic enzyme replacement therapy. What would the nurse recognize as a contraindication to this therapy?

1. Allergy to pork
2. Cystic fibrosis
3. Steatorrhea (bulky, foul-smelling, fatty stools)
4. Chronic pancreatitis

T4T · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,2,5
Rationale 1: Dehydration is especially dangerous for infants, and nausea and vomiting should be treated due to the client's age.
Rationale 2: Dehydration is especially dangerous for small children, and nausea and vomiting should be treated due to the client's age.
Rationale 3: Dehydration is not especially dangerous for healthy adults, and nausea and vomiting may not require treatment with pharmacotherapy.
Rationale 4: Dehydration is not especially dangerous for healthy adults, and nausea and vomiting may not require treatment with pharmacotherapy.
Rationale 5: Dehydration is especially dangerous for the older adult. Nausea and vomiting may require treatment with pharmacotherapy.
Global Rationale: Dehydration is especially dangerous for infants, small children, and the older adult and is evidenced by dry mouth, sticky saliva, and reduced urine output that is dark yellow-orange to brown in color. Healthy middle adults are not at high risk even with situational nausea and vomiting.

Answer to Question 2

Correct Answer: 1
Rationale 1: An allergy to pork is a contraindication for treatment with pancrelipase, as the origin of the enzyme is pork.
Rationale 2: Cystic fibrosis is an indication for the use of pancreatic enzyme replacement.
Rationale 3: Steatorrhea is an indication for the use of pancreatic enzyme replacement. Steatorrhea often occurs in chronic pancreatitis.
Rationale 4: Chronic pancreatitis is an indication for the use of pancreatic enzyme replacement.
Global Rationale: Pancreatic enzyme replacements are sourced from pork, so allergy is a concern. Cystic fibrosis and chronic pancreatitis are conditions for which pancreatic enzyme replacement may be given. Steatorrhea is an indication for their use.