Pancreatic enzymes are administered to the child with cystic fibrosis. What nursing consideration should be included in the plan of care?
a. Give pancreatic enzymes between meals if at all possible.
b. Do not administer pancreatic enzymes if the child is receiving antibiotics.
c. Decrease the dose of pancreatic enzymes if the child is having frequent, bulky stools.
d. Pancreatic enzymes can be swallowed whole or sprinkled on a small amount of food taken at the beginning of a meal.
ANS: D
Enzymes may be administered in a small amount of cereal or fruit at the beginning of a meal or swallowed whole. Enzymes should be given just before meals and snacks. Pancreatic enzymes are not a contraindication for antibiotics. The dose of enzymes should be increased if child is having frequent, bulky stools.
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