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."
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.
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