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. Pyridostigmine is a cholinergic medication that can affect bladder function, and difficulty with urination could indicate a bladder obstruction, which is a contraindication for this medication.
B. Trouble sleeping or insomnia is not typically associated with pyridostigmine use.
C. Unexplained weight loss is not a common side effect of pyridostigmine.
D. Administering pyridostigmine with food or shortly after a meal may help minimize gastrointestinal side effects such as nausea and abdominal discomfort. This however, is not of immediate concern when administering pyridostigmine.
Correct Answer is D
Explanation
D. Bismuth subsalicylate, a component of the regimen, has salicylate in its composition, which can lead to an increased risk of bleeding when taken with aspirin, a known blood thinner.
A. Loperamide is an antidiarrheal medication commonly used to treat diarrhea. It is not directly related to the treatment of Helicobacter pylori (H. pylori) infection.
B. Ipratropium is a bronchodilator medication used to treat conditions such as chronic obstructive pulmonary disease (COPD) and asthma. It is not directly related to the treatment of H. pylori infection.
C. Famotidine is a histamine-2 (H2) receptor antagonist commonly used to reduce stomach acid production. It is not directly related to the treatment of H. pylori infection.
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