HESI Pharmacology Comprehensive Real Exam With Answers (245 Solved Questions)

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NEW GENERATION ATI COMPREHENSIVE HESI EXAMFOR PHARMACOLOGY | REAL EXAMS WITHRATIONALE AND STUDY HINTS1)A nurse is caring for a client with hyperparathyroidism and notes that the client's serumcalcium levelis 13 mg/dL. Which medication should the nurse prepare to administer asprescribed to the client?1.Calcium chloride2.Calcium gluconate3.Calcitonin (Miacalcin)4.Large doses of vitamin D3. Calcitonin(Miacalcin)Rationale:The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencinghypercalcemia. Calciumgluconate and calcium chloride are medications used for thetreatment of tetany, which occurs as a result of acute hypocalcemia. In hypercalcemia, largedoses of vitamin D need to be avoided. Calcitonin,a thyroid hormone, decreases the plasmacalcium level by inhibiting bone resorption and lowering the serum calcium concentration.2.) Oral iron supplements are prescribed for a 6-year-old child with iron deficiency anemia. Thenurseinstructs the mother to administer the iron with which best food item?1.Milk2.Water3.Apple juice4.Orange juice4. OrangejuiceRationale:Vitamin C increases the absorption of iron by the body. The mother should be instructed toadminister the medication with a citrus fruit or a juice that is high in vitamin C. Milk may affectabsorption of the iron. Water will not assist in absorption. Orange juice contains a greateramount of vitamin C than applejuice.3.) Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse monitors theclient,knowing that which of the following would indicate the presence of systemic toxicity fromthis medication?1.Tinnitus2.Diarrhea

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3.Constipation4.Decreased respirations1.TinnitusRationale:

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Salicylic acid is absorbed readily through the skin, and systemic toxicity (salicylism) can result.Symptoms include tinnitus, dizziness, hyperpnea, and psychological disturbances. Constipationand diarrhea are notassociated with salicylism.4.) The camp nurse asks the children preparing to swim in the lake if they have appliedsunscreen. Thenurse reminds the children that chemical sunscreens are most effective whenapplied:1.Immediately before swimming2.15 minutes before exposure to the sun3.Immediately before exposure to the sun4.At least 30 minutes before exposure to the sunRationale:Sunscreens are most effective when applied at least 30 minutes before exposure to the sun sothat theycan penetrate the skin. All sunscreens should be reapplied after swimming or sweating.5.) Mafenide acetate (Sulfamylon) is prescribed for the client with a burn injury. When applyingthemedication, the client complains of local discomfort and burning. Which of the following isthe mostappropriate nursing action?1.Notifying the registered nurse2.Discontinuing the medication3.Informing the client that this is normal4.Applying a thinner film than prescribed to the burn site3. Informing the client thatthis isnormalRationale:Mafenide acetate is bacteriostatic for gram-negative and gram-positive organisms and is usedto treat burns to reduce bacteria present in avascular tissues. The client should be informed thatthe medicationwill cause local discomfort and burning and that this is a normal reaction;therefore options 1, 2, and 4 are incorrect6.) The burn client is receiving treatments of topical mafenide acetate (Sulfamylon) to the siteof injury.The nurse monitors the client, knowing that which of the following indicates that asystemic effect hasoccurred?1.Hyperventilation2.Elevated bloodpressure 3.Local pain atthe burn site

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4.Local rash at the burn site1.HyperventilationRationale:Mafenide acetate is a carbonic anhydrase inhibitor and can suppress renal excretion of acid,thereby causing acidosis. Clients receiving this treatment should be monitored for signs of anacid-base imbalance (hyperventilation). If this occurs, the medication should be discontinuedfor 1 to 2 days. Options 3 and 4 describe local rather than systemic effects. An elevated bloodpressure may be expectedfrom the pain that occurs with a burn injury.7.) Isotretinoin is prescribed for a client with severe acne. Before the administration of thismedication,the nurse anticipates that which laboratory test will be prescribed?1.Platelet count2.Triglyceride level3.Complete blood count4.White blood cell count2. TriglyceridelevelRationale:Isotretinoin can elevate triglyceride levels. Blood triglyceride levels should be measured beforetreatment and periodically thereafter until the effect on the triglycerides has been evaluated.Options 1,3, and 4 do not need to be monitored specifically during this treatment.8.) A client with severe acne is seen in the clinic and the health care provider (HCP) prescribesisotretinoin. The nurse reviews the client's medication record and would contact the (HCP) if theclient istaking which medication?1.Vitamin A2.Digoxin (Lanoxin)3.Furosemide (Lasix)4.Phenytoin (Dilantin) 1. VitaminARationale:Isotretinoin is a metabolite of vitamin A and can produce generalized intensification ofisotretinoin toxicity. Because of the potential for increased toxicity, vitamin A supplements shouldbe discontinuedbefore isotretinoin therapy. Options 2, 3, and 4 are not contraindicated with theuse of isotretinoin.9.) The nurse is applying a topical corticosteroid to a client with eczema. The nurse wouldmonitor for the potential for increased systemic absorption of the medication if the medicationwere being appliedto which of the following body areas?1.Back2.Axilla

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3.Soles of the feet4.Palmsofthehands2.AxillaRationale:Topical corticosteroids can be absorbed into the systemic circulation. Absorption is higherfrom regionswheretheskinisespeciallypermeable(scalp,axilla,face,eyelids,neck,perineum, genitalia), and lower from regions in which permeability is poor (back, palms,soles).10.) The clinic nurse is performing an admission assessment on a client. The nurse notes that theclient istaking azelaic acid (Azelex). Because of the medication prescription, the nurse wouldsuspect that the client is being treated for:1.Acne2.Eczema3.Hair loss4.Herpes simplex1.AcneRationale:Azelaic acid is a topical medication used to treat mild to moderate acne. The acid appears towork bysuppressing the growth of Propionibacterium acnes and decreasing the proliferation ofkeratinocytes.Options 2, 3, and 4 are incorrect.11.) The health care provider has prescribed silver sulfadiazine (Silvadene) for the client with apartial- thickness burn, which has cultured positive for gram-negative bacteria. The nurse isreinforcing information to the client about the medication. Which statement made by the clientindicates a lack ofunderstanding about the treatments?1."The medication is an antibacterial."2."The medication will help heal the burn."3."The medication will permanently stain my skin."4."The medication should be applied directly to the wound."3. "The medication willpermanentlystain my skin."Rationale:Silver sulfadiazine (Silvadene) is an antibacterial that has a broad spectrum of activity againstgram-negative bacteria, gram-positive bacteria, and yeast. It is applied directly to the woundto assist in healing. It does not stain the skin.12.) A nurse is caring for a client who is receiving an intravenous (IV) infusion of an antineoplasticmedication. During the infusion, the client complains of pain at the insertion site. During aninspection ofthe site, the nurse notes redness and swelling and that the rate of infusion of themedication has slowed.The nurse should take which appropriate action?

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1.Notify the registered nurse.2.Administer pain medication to reduce the discomfort.3.Apply ice and maintain the infusion rate, as prescribed.4.Elevate the extremity of the IV site, and slow the infusion.1. Notify theregistered nurse.Rationale:When antineoplastic medications (Chemotheraputic Agents) are administered via IV, great caremust betaken to prevent the medication from escaping into the tissues surrounding theinjection site, because pain, tissue damage, and necrosis can result. The nurse monitors forsigns of extravasation, such as redness or swelling at the insertion site and a decreased infusionrate. If extravasation occurs, the registered nurse needs to be notified; he or she will thencontact the health care provider.13.) The client with squamous cell carcinoma of the larynx is receiving bleomycin intravenously.Thenurse caring for the client anticipates that which diagnostic study will be prescribed?1.Echocardiography2.Electrocardiography3.Cervical radiography4.Pulmonary function studies4. Pulmonary functionstudiesRationale:Bleomycin isan antineoplastic medication (Chemotheraputic Agents) that can cause interstitialpneumonitis, which can progress to pulmonary fibrosis. Pulmonary function studies along withhematological, hepatic, and renal function tests need to be monitored. The nurse needs tomonitor lungsounds for dyspnea and crackles, which indicate pulmonary toxicity. Themedication needs to be discontinued immediately if pulmonary toxicity occurs. Options 1, 2,and 3 are unrelated to the specific use of this medication.14.) The client with acute myelocytic leukemia is being treated with busulfan (Myleran). Whichlaboratory value would the nurse specifically monitor during treatment with this medication?1.Clotting time2.Uric acid level3.Potassium level4.Blood glucose level 2. Uric acidlevelRationale:Busulfan (Myleran) can cause an increase in the uric acid level. Hyperuricemia can produce uricacid nephropathy, renal stones, and acute renal failure. Options 1, 3, and 4 are not specificallyrelated to thismedication.

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15.)The client with small cell lung cancer is being treated with etoposide (VePesid). The nursewho is assisting in caring for the client during its administration understands that which sideeffect is specificallyassociated with this medication?1.Alopecia2.Chest pain3.Pulmonary fibrosis4.Orthostatic hypotension4. OrthostatichypotensionRationale:A side effect specific toetoposideis orthostatic hypotension. The client's blood pressure ismonitoredduring the infusion. Hair loss occurs with nearly all the antineoplastic medications.Chest pain and pulmonary fibrosis are unrelated to this medication.16.) The clinic nurse is reviewing a teaching plan for the client receiving an antineoplasticmedication.When implementing the plan, the nurse tells the client:1.To take aspirin (acetylsalicylic acid) as needed for headache2.Drink beverages containing alcohol in moderate amounts each evening3.Consult with health care providers (HCPs) before receiving immunizations4.That it is not necessary to consult HCPs before receiving a flu vaccine at the local healthfair3.Consult with health care providers (HCPs) before receiving immunizationsRationale:Because antineoplastic medications lower the resistance of the body, clients must be informednot to receive immunizations without a HCP's approval. Clients also need to avoid contact withindividuals whohave recently received a live virus vaccine. Clients need to avoid aspirin andaspirin-containing productsto minimize the risk of bleeding, and they need to avoid alcohol tominimize the risk of toxicity and sideeffects.17.) The client with ovarian cancer is being treated withvincristine (Oncovin). The nursemonitors theclient, knowing that which of the following indicates a side effect specific to thismedication?1.Diarrhea2.Hair loss3.Chest pain4.Numbness and tingling in the fingers and toes4. Numbness and tingling in the fingers andtoesRationale:

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A side effect specific tovincristineis peripheral neuropathy, which occurs in almost every client.Peripheral neuropathy can be manifested as numbness and tingling in the fingers and toes.Depressionof the Achilles tendon reflex may be the first clinical sign indicating peripheral neuropathy.Constipationrather than diarrhea is most likely to occur with this medication, althoughdiarrhea may occur occasionally. Hair loss occurs with nearly all the antineoplasticmedications. Chest pain is unrelated to this medication.18.) The nurse is reviewing the history and physical examination of a client who will bereceiving asparaginase (Elspar), an antineoplastic agent. The nurse consults with the registerednurse regardingthe administration of the medication if which of the following is documentedin the client's history?1.Pancreatitis2.Diabetes mellitus3.Myocardial infarction4.Chronic obstructive pulmonary diseaseRationale:Asparaginase (Elspar)is contraindicated if hypersensitivity exists, in pancreatitis, or if theclient has a history of pancreatitis. The medication impairs pancreatic function and pancreaticfunction tests shouldbe performed before therapy begins and when a week or more haselapsed between administration ofthe doses. The client needs to be monitored for signs ofpancreatitis, which include nausea, vomiting, and abdominal pain. The conditions noted inoptions 2, 3, and 4 are not contraindicated with this medication.19.)Tamoxifenis prescribed for the client with metastatic breast carcinoma. The nurseunderstands thatthe primary action of this medication is to:1.Increase DNA and RNA synthesis.2.Promote the biosynthesis of nucleic acids.3.Increase estrogen concentration and estrogen response.4.Compete with estradiol for binding to estrogen in tissues containing high concentrations ofreceptors.Rationale:Tamoxifen is an antineoplastic medication that competes with estradiol for binding to estrogenin tissuescontaining high concentrations of receptors. Tamoxifen is used to treat metastaticbreast carcinoma in women and men. Tamoxifen is also effective in delaying the recurrence ofcancer following mastectomy. Tamoxifen reduces DNA synthesis and estrogen response.20.) The client with metastatic breast cancer is receiving tamoxifen. The nurse specifically

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monitorswhich laboratory value while the client is taking this medication?1.Glucose level2.Calcium level3.Potassium level4.Prothrombin timeRationale:Tamoxifen may increase calcium, cholesterol, and triglyceride levels. Before the initiation oftherapy, a complete blood count, platelet count, and serum calcium levels should be assessed.These blood levels, along with cholesterol and triglyceride levels, should be monitoredperiodically during therapy. The nurse should assess for hypercalcemia while the client is takingthis medication. Signs of hypercalcemia include increased urine volume, excessive thirst,nausea, vomiting, constipation, hypotonicity of muscles,and deep bone and flank pain.21.) A nurse is assisting with caring for a client with cancer who is receiving cisplatin. Select theadverseeffects that the nurse monitors for that are associated with this medication. Select all thatapply.1.Tinnitus2.Ototoxicity3.Hyperkalemia4.Hypercalcemia5.Nephrotoxicity6.Hypomagnesemia1. Tinnitus2. Ototoxicity5.Nephrotoxicity6.HypomagnesemiaRationale:Cisplatin is an alkylating medication. Alkylating medications are cell cycle phase-nonspecificmedications that affect the synthesis of DNA by causing the cross-linking of DNA to inhibit cellreproduction.Cisplatin maycauseototoxicity,tinnitus,hypokalemia,hypocalcemia,hypomagnesemia, and nephrotoxicity.Amifostine (Ethyol) may be administered before cisplatin to reduce the potential for renal toxicity.22.) A nurse is caring for a client after thyroidectomy and notes that calcium gluconate isprescribed forthe client. The nurse determines that this medication has been prescribed to:1.Treat thyroid storm.

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2.Prevent cardiac irritability.3.Treat hypocalcemic tetany.4.Stimulate the release of parathyroid hormone.3. Treat hypocalcemictetany.Rationale:Hypocalcemia can develop after thyroidectomy if the parathyroid glands are accidentallyremoved or injured during surgery. Manifestations develop 1 to 7 days after surgery. If the clientdevelops numbnessand tingling around the mouth, fingertips, or toes or muscle spasms ortwitching, the health care provider is notified immediately. Calcium gluconate should be keptat the bedside.23.) A client who has been newly diagnosed with diabetes mellitus has been stabilized with dailyinsulininjections. Which information should the nurse teach when carrying out plans fordischarge?1.Keep insulin vials refrigerated at all times.2.Rotate the insulin injection sites systematically.3.Increase the amount of insulin before unusual exercise.4.Monitor the urine acetone level to determine the insulin dosage.2. Rotate the insulininjectionsites systematically.Rationale:Insulin dosages should not be adjusted or increased before unusual exercise. If acetone is foundin the urine, it may possibly indicate the need for additional insulin. To minimize the discomfortassociated withinsulin injections, the insulin should be administered at room temperature.Injection sites should be systematically rotated from one area to another. The client should beinstructed to give injections in one area, about 1 inch apart, until the whole area has been usedand then to change to another site. This prevents dramatic changes in daily insulin absorption.24.) A nurse is reinforcing teaching for a client regarding how to mix regular insulin and NPHinsulin inthe same syringe. Which of the following actions, if performed by the client, indicatesthe need for further teaching?1.Withdraws the NPH insulin first2.Withdraws the regular insulin first3.Injects air into NPH insulin vial first4.Injects an amount of air equal to the desired dose of insulin into the vial1. Withdrawsthe NPHinsulin firstRationale:When preparing a mixture of regular insulin with another insulin preparation, the regular insulin

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is drawn into the syringe first. This sequence will avoid contaminating the vial of regular insulinwith insulinof another type. Options 2, 3, and 4 identify the correct actions for preparing NPHand regular insulin.25.) A home care nurse visits a client recently diagnosed with diabetes mellitus who is takingHumulin NPH insulin daily. The client asks the nurse how to store the unopened vials of insulin.The nurse tells theclient to:1.Freeze the insulin.2.Refrigerate the insulin.3.Store the insulin in a dark, dry place.4.Keep the insulin at room temperature.2. Refrigerate theinsulin.Rationale:Insulin in unopened vials should be stored under refrigeration until needed. Vials should not befrozen.When stored unopened under refrigeration, insulin can be used up to the expiration dateon the vial. Options 1, 3, and 4 are incorrect.26.) Glimepiride (Amaryl) is prescribed for a client with diabetes mellitus. A nurse reinforcesinstructionsfor the client and tells the client to avoid which of the following while taking thismedication?1.Alcohol2.Organ meats3.Whole-grain cereals4.Carbonated beverages1.AlcoholRationale:When alcohol is combined with glimepiride (Amaryl), a disulfiram-like reaction may occur. Thissyndromeincludes flushing, palpitations, and nausea. Alcohol can also potentiate thehypoglycemic effects of the medication. Clients need to be instructed to avoid alcoholconsumption while taking this medication. Theitems in options 2, 3, and 4 do not need to beavoided.27.) Sildenafil (Viagra) is prescribed to treat a client with erectile dysfunction. A nurse reviews theclient'smedical record and would question the prescription if which of the following is noted inthe client's history?1.Neuralgia2.Insomnia3.Use of nitroglycerin4.Use of multivitamins 3. Use of

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nitroglycerinRationale:Sildenafil (Viagra) enhances the vasodilating effect of nitric oxide in the corpus cavernosum ofthe penis,thus sustaining an erection. Because of the effect of the medication, it iscontraindicated with concurrentuse of organic nitrates and nitroglycerin. Sildenafil is notcontraindicated with the use of vitamins.Neuralgia and insomnia are side effects of the medication.28.) The health care provider (HCP) prescribes exenatide (Byetta) for a client with type 1diabetes mellitus who takes insulin. The nurse knows that which of the following is theappropriate intervention?1.The medication is administered within 60 minutes before the morning and evening meal.2.The medication is withheld and the HCP is called to question the prescription for the client.3.The client is monitored for gastrointestinal side effects after administration of the medication.4.The insulin is withdrawn from the Penlet into an insulin syringe to prepare foradministration. 2. Themedication is withheld and the HCP is called to question theprescription for the client.Rationale:Exenatide (Byetta) is an incretin mimetic used for type 2 diabetes mellitus only. It is notrecommended for clients taking insulin. Hence, the nurse should hold the medication andquestion the HCP regarding this prescription. Although options 1 and 3 are correct statementsabout the medication, in this situationthe medication should not be administered. Themedication is packaged in prefilled pens ready for injection without the need for drawing it upinto another syringe.29.) A client is taking Humulin NPH insulin daily every morning. The nurse reinforces instructionsfor theclient and tells the client that the most likely time for a hypoglycemic reaction to occur is:1.2 to 4 hours after administration2.4 to 12 hours after administration3.16 to 18 hours after administration4.18 to 24 hours after administration2. 4 to 12 hours afteradministrationRationale:Humulin NPH is an intermediate-acting insulin. The onset of action is 1.5 hours, it peaks in 4 to12 hours,and its duration of action is 24 hours. Hypoglycemic reactions most likely occur duringpeak time.30.) A client with diabetes mellitus visits a health care clinic. The client's diabetes mellituspreviously hadbeen well controlled with glyburide (DiaBeta) daily, but recently the fasting bloodglucose level has been 180 to 200 mg/dL. Which medication, if added to the client's regimen,may have contributed to the hyperglycemia?

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1.Prednisone2.Phenelzine (Nardil)3.Atenolol (Tenormin)4.Allopurinol (Zyloprim)1.PrednisoneRationale:Prednisone may decrease the effect of oral hypoglycemics, insulin, diuretics, and potassiumsupplements. Option 2, a monoamine oxidase inhibitor, and option 3, aβ-blocker, have theirown intrinsic hypoglycemic activity. Option 4 decreases urinary excretion of sulfonylureaagents, causingincreased levels of the oral agents, which can lead to hypoglycemia.31.) A community health nurse visits a client at home. Prednisone 10 mg orally daily has beenprescribedfor the client and the nurse reinforces teaching for the client about the medication.Which statement, if made by the client, indicates that further teaching is necessary?1."I can take aspirin or my antihistamine if I need it."2."I need to take the medication every day at the same time."3."I need to avoid coffee, tea, cola, and chocolate in my diet."4."If I gain more than 5 pounds a week, I will call my doctor."1. "I can takeaspirin or myantihistamine if I need it."Rationale:Aspirin and other over-the-counter medications should not be taken unless the client consultswith the health care provider (HCP). The client needs to take the medication at the same timeevery day and should be instructed not to stop the medication. A slight weight gain as a resultof an improved appetiteis expected, but after the dosage is stabilized, a weight gain of 5 lb ormore weekly should be reported tothe HCP. Caffeine-containing foods and fluids need to beavoided because they may contribute tosteroid-ulcer development.32.) Desmopressin acetate (DDAVP) is prescribed for the treatment of diabetes insipidus. Thenursemonitors the client after medication administration for which therapeutic response?1.Decreased urinary output2.Decreased blood pressure3.Decreased peripheral edema4.Decreased blood glucose level1. Decreased urinaryoutputRationale:Desmopressin promotes renal conservation of water. The hormone carries out this action byacting on the collecting ducts of the kidney to increase their permeability to water, which

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results in increased water reabsorption. The therapeutic effect of this medication would bemanifested by a decreased urineoutput. Options 2, 3, and 4 are unrelated to the effects of thismedication.33.) The home health care nurse is visiting a client who was recently diagnosed with type 2diabetes mellitus. The client is prescribed repaglinide (Prandin) and metformin (Glucophage)and asks the nurseto explain these medications. The nurse should reinforce which instructionsto the client? Select all thatapply.1.Diarrhea can occur secondary to the metformin.2.The repaglinide is not taken if a meal is skipped.3.The repaglinide is taken 30 minutes before eating.4.Candy or another simple sugar is carried and used to treat mild hypoglycemia episodes.5.Metformin increases hepatic glucose production to prevent hypoglycemiaassociated withrepaglinide.6.Muscle pain is an expected side effect of metformin and may be treated withacetaminophen(Tylenol).1. Diarrhea can occur secondary to the metformin.2.The repaglinide is not taken if a meal is skipped.3.The repaglinide is taken 30 minutes before eating.4.Candy or another simple sugar is carried and used to treat mild hypoglycemiaepisodes.Rationale:Repaglinide is a rapid-acting oral hypoglycemic agent that stimulates pancreatic insulinsecretion that should be taken before meals, and that should be withheld if the client does noteat. Hypoglycemia is a side effect of repaglinide and the client should always be prepared bycarrying a simple sugar with her orhim at all times. Metformin is an oral hypoglycemic given incombination with repaglinide and works by decreasing hepatic glucose production. A commonside effect of metformin is diarrhea. Muscle pain mayoccur as an adverse effect from metforminbut it might signify a more serious condition that warrants health care provider notification, notthe use of acetaminophen.34.) A client with Crohn's disease is scheduled to receive an infusion of infliximab (Remicade).The nurseassisting in caring for the client should take which action to monitor the effectivenessof treatment?1.Monitoring the leukocyte count for 2 days after the infusion2.Checking the frequency and consistency of bowel movements3.Checking serum liver enzyme levels before and after the infusion4.Carrying out a Hematest on gastric fluids after the infusion is completed2.Checking thefrequency and consistency of bowel movements

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Rationale:The principal manifestations of Crohn's disease are diarrhea and abdominal pain. Infliximab(Remicade)is an immunomodulator that reduces the degree of inflammation in the colon,thereby reducing the diarrhea. Options 1, 3, and 4 are unrelated to this medication.35.) The client has a PRN prescription for loperamide hydrochloride (Imodium). The nurseunderstandsthat this medication is used for which condition?1.Constipation2.Abdominal pain3.An episode of diarrhea4.Hematest-positive nasogastric tube drainage 3. An episode ofdiarrheaRationale:Loperamide is an antidiarrheal agent. It is used to manage acute and also chronic diarrhea inconditionssuch as inflammatory bowel disease. Loperamide also can be used to reduce thevolume of drainage from an ileostomy. It is not used for the conditions in options 1, 2, and 4.36.)The client has a PRN prescription for ondansetron (Zofran). For which condition should thismedication be administered to the postoperative client?1.Paralytic ileus2.Incisional pain3.Urinary retention4.Nausea and vomiting4. Nausea andvomitingRationale:Ondansetron is an antiemetic used to treat postoperative nausea and vomiting, as well as nauseaandvomiting associated with chemotherapy. The other options are incorrect.37.) The client has begun medication therapy with pancrelipase (Pancrease MT). The nurseevaluatesthat the medication is having the optimal intended benefit if which effect isobserved?1.Weight loss2.Relief of heartburn3.Reduction of steatorrhea4.Absence of abdominal pain 3. Reduction ofsteatorrheaRationale:Pancrelipase (Pancrease MT) is a pancreatic enzyme used in clients with pancreatitis as a

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