CHAPTER 53: CONCEPTS OF CARE FOR PATIENTS WITH LIVER PROBLEMS IGNATAVICIUS: MEDICAL-SURGICAL NURSING, 10TH EDITION | WITH CORRECT ANSWERS | ALREADY GRADED A+

After teaching a client who has chronic pancreatitis and will be discharged with enzyme replacement therapy, a nurse assesses the client's understanding. Which statement by the client indicates a need for further teaching? (Select all that apply.) a. "I will take the enzymes between meals." b. "The enteric-coated preparations cannot be crushed." c. "Swallowing the tables without chewing is best." d. "I will wipe my lips after taking the enzymes." e. "Enzymes should be taken with high-protein foods." a. "I will take the enzymes between meals." e. "Enzymes should be taken with high-protein foods." Client teaching related to self-management of enzyme replacement therapy would include taking the enzymes with meals and snacks but not mixing enzyme preparations with proteincontaining foods. Clients would not crush enteric-coated preparations and should swallow tablets without chewing to minimize oral irritation and allow the drug to be released slowly. Wiping lips after taking enzymes also minimizes skin irritation.