Health Promotion and Maintenance
41. Which statement made by the mother of a child with cystic fibrosis should indicate to a nurse that the mother is in need of further teaching regarding the administration of pancreatic enzymes?
. "I'll crush the capsules and mix with my child's food."
. "The capsule can be broken and its contents sprinkled onto food."
. "I may need to give more enzymes with larger meals."
. "I will administer the enzymes 30 minutes after the meal."
Test-Taking Tip
Make sure to look for an incorrect statement when the stem says "further teaching is needed."
Content Area: Child Health, Respiratory; Integrated Process: Nursing Process, Evaluation; Cognitive Level: Analysis; Client Need/Subneed: Physiological Integrity/Pharmacological and Parenteral Therapies/Medication Administration
Health Promotion and Maintenance
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Answer 1 is correct because this statement by the mother indicates more teaching is needed, since crushing the capsule would destroy the enteric coating on the enzyme beads, leading to their destruction in the acid environment of the stomach. Answer 2 is incorrect because this statement demonstrates appropriate knowledge. Answer 3 is incorrect because this statement demonstrates appropriate knowledge. Answer 4 is incorrect because this statement demonstrates appropriate knowledge. Pancreatic enzymes must be administered within 30 minutes of the ingestion of food.