Nokea
A nurse is teaching a client who has a new prescription for pancrelipase to aid in digestion. The nurse should inform the client to expect which of the following gastrointestinal changes?
- A. Decreased fat in stools
- B. Decreased watery stools
- C. Decreased mucus in stools
- D. Decreased black tarry stools
Correct Answer: A
Rationale: The correct answer is A: Decreased fat in stools. Pancrelipase is a pancreatic enzyme replacement therapy that helps break down fats, proteins, and carbohydrates. Therefore, the client can expect decreased fat in stools as the enzymes aid in the digestion and absorption of fats. Choice B, decreased watery stools, is incorrect as pancrelipase does not directly affect stool consistency. Choices C and D are also incorrect as pancrelipase does not directly impact mucus or the color of stools. Overall, understanding the mechanism of action of pancrelipase helps to determine the correct gastrointestinal change to expect.
You may also like to solve these questions
A nurse is completing a physical assessment of a client who has early osteoarthritis. Which of the following manifestations should the nurse expect?
- A. Ulnar deviation
- B. Symmetric joints affected
- C. Pain worsens with activity
- D. Weight loss
Correct Answer: C
Rationale: The correct answer is C: Pain worsens with activity. In osteoarthritis, pain typically worsens with movement or activity due to the degeneration of joint cartilage causing friction between bones. This is a hallmark symptom of osteoarthritis. Ulnar deviation (A) is more commonly seen in rheumatoid arthritis. Symmetric joints affected (B) is also more characteristic of rheumatoid arthritis rather than osteoarthritis. Weight loss (D) is not a typical manifestation of osteoarthritis, unless it is due to decreased physical activity from pain.
A nurse is preparing to administer fluoxetine 30 mg PO daily to a client. The amount available is fluoxetine 10 mg tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero)
Correct Answer: 3
Rationale: The correct answer is 3 tablets. To achieve a total of 30 mg, the nurse should administer 3 tablets of 10 mg each (10 mg x 3 = 30 mg). Other choices are incorrect because: A) 1 tablet is not enough to reach 30 mg, B) 2 tablets only add up to 20 mg, C) 4 tablets exceed the required dose, D) 5 tablets exceed the required dose, E) 6 tablets exceed the required dose, F) 7 tablets exceed the required dose, G) 8 tablets exceed the required dose.
A nurse is caring for a client who has benign prostatic hyperplasia (BPH). The nurse should expect which of the following findings?
- A. Painful urination
- B. Urge incontinence
- C. Critically elevated prostate-specific antigen (PSA) level
- D. Difficulty starting the flow of urine
Correct Answer: D
Rationale: The correct answer is D: Difficulty starting the flow of urine. This is an expected finding in a client with benign prostatic hyperplasia (BPH) due to the enlargement of the prostate gland, which can obstruct the urethra and impede the flow of urine. This commonly leads to hesitancy or difficulty initiating urination.
- A: Painful urination is not typically associated with BPH, as it is more commonly seen in conditions like urinary tract infections.
- B: Urge incontinence is not a typical finding in BPH; it is more commonly seen in conditions like overactive bladder.
- C: Critically elevated prostate-specific antigen (PSA) levels are not a direct symptom of BPH but may be used for screening and monitoring prostate cancer.
In summary, difficulty starting the flow of urine is the most relevant finding in BPH due to the mechanical obstruction caused by the enlarged prostate gland.
A nurse is caring for a client who has an endotracheal tube and is receiving mechanical ventilation. Which of the following actions should the nurse take to reduce the risk of ventilator-associated pneumonia?
- A. Turn the client every 4 hours.
- B. Brush the client’s teeth with a suction toothbrush every 12 hours.
- C. Provide humidity by maintaining moisture within the ventilator tubing.
- D. Position the head of the client’s bed in the flat position.
Correct Answer: B
Rationale: The correct answer is B: Brush the client's teeth with a suction toothbrush every 12 hours. This action helps reduce the risk of ventilator-associated pneumonia by preventing the buildup of bacteria in the oral cavity that could be aspirated into the lungs. Ventilator-associated pneumonia is often caused by bacteria from the oral cavity entering the respiratory system. Regular oral care, including brushing the teeth, helps to reduce the bacterial load in the mouth. Turning the client every 4 hours (choice A) helps prevent pressure ulcers but does not directly reduce the risk of ventilator-associated pneumonia. Providing humidity in the ventilator tubing (choice C) is important for maintaining airway moisture but does not specifically target pneumonia prevention. Positioning the head of the client's bed flat (choice D) is important for proper ventilation but does not address oral care and bacterial buildup.
A nurse is preparing to administer clindamycin palmitate 225 mg PO every 8 hours to a client. The amount available is clindamycin palmitate oral suspension 75 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 15
Rationale: Correct Answer: 15 mL
Rationale: To calculate the mL to administer, first determine the total daily dose (675 mg). Divide this by the concentration of the oral suspension (75 mg/5 mL) to get the total mL per day (45 mL). Divide this by the number of doses per day (3) to get the mL per dose (15 mL).
Summary:
A: Incorrect, as it does not align with the correct calculation.
B-G: Irrelevant since the correct calculation method indicates 15 mL is the appropriate answer.