A client has been administered lactulose for several days. Which therapeutic response should the nurse expect for a client with hepatic encephalopathy?
Ability to ambulate independently.
Improved mental status.
Reduction in number of liquid stools.
Increase in urine output.
The Correct Answer is B
B. Lactulose works by reducing serum ammonia levels through the promotion of ammonia excretion in the feces, leading to improved cognitive function and mental status in individuals with hepatic encephalopathy.
A. Ability to ambulate independently is not a direct therapeutic response to lactulose administration for hepatic encephalopathy.
C. Lactulose is a laxative and often causes an increase in the number of stools, but the consistency of stools may become softer rather than completely liquid.
D. Increase in urine output is not a direct therapeutic response to lactulose administration for hepatic encephalopathy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Inserting a nasogastric tube (NGT) and attaching it to low intermittent suction would be appropriate in this situation. Dark brown emesis could indicate gastrointestinal bleeding, which may require gastric decompression to prevent further vomiting and assess the volume and characteristics of the gastric contents.
B. Placing an indwelling urinary catheter and attaching a bedside drainage unit is not the priority intervention in this scenario.
C. Sending the client to x-ray for a flat plate of the abdomen may provide diagnostic information, but it is not the most immediate intervention needed in this situation.
D. Giving a prescribed analgesic for a temperature above 101°F (38.3°C) is not the priority intervention in this scenario.
Correct Answer is D
Explanation
D. One of the potential side effects of albuterol is tachycardia (irregular rapid heart beat) due to its stimulatory effects on beta-adrenergic receptors in the heart.
A. While tremors can be distressing for the client, they are generally benign and do not typically require immediate intervention by the nurse.
B. While uncomfortable, throat irritation is generally mild and self-limiting and does not typically require immediate intervention by the nurse.
C. Increased anxiety alone does not typically warrant immediate intervention by the nurse unless it is severe or accompanied by other concerning symptoms.
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