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.

Answer and Explanation

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

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is B

Explanation

B. Postural drainage involves placing the client in various positions to help drain secretions from different lobes of the lungs. There are typically five standard positions: head-down, head-up, on the side with the affected lung uppermost, on the side with the affected lung lowermost, and lying prone.

A. Performing postural drainage immediately after meals is not recommended because it can increase the risk of vomiting or aspiration, especially in individuals with chronic obstructive pulmonary disease (COPD) who may already have compromised lung function.

C. In postural drainage, the client is typically instructed to breathe deeply and slowly to maximize the effectiveness of the technique.

D. While ABGs may be necessary for monitoring respiratory status in clients with COPD, they are not specifically required prior to performing postural drainage.

A. Explain that the need to restrict fluids is the primary limitation. B. Instruct the client to avoid foods with gluten, such as wheat bread. C. Describe the use of an elimination diet to find trigger foods. D. Advise the client to limit foods that are high in calcium and Iron.

Correct Answer is C

Explanation

C. Describing the use of an elimination diet to find trigger foods is a helpful approach. Crohn's disease can have trigger foods that worsen symptoms like abdominal pain, diarrhea, and bloating. By eliminating potential trigger foods one at a time and observing symptom changes, the client can identify which foods exacerbate their condition.

A. Explaining that the need to restrict fluids is the primary limitation is incorrect. Crohn's disease doesn't typically require fluid restriction unless complications like severe diarrhea or dehydration occur.

B. Instructing the client to avoid foods with gluten, such as wheat bread, is also not accurate unless the client has been diagnosed with celiac disease or has a gluten sensitivity.

D. Advising the client to limit foods that are high in calcium and iron is not generally recommended unless there are specific issues like intestinal strictures or obstructions that limit absorption.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A client has been administered lactulose for several days. Which therapeutic response should the nurse expect for a client with hepatic encephalopathy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When performing postural drainage on a client with chronic obstructive pulmonary disease (COPD), which approach should the nurse use?

Correct Answer is B

Explanation

A client with newly diagnosed Crohn's disease asks the nurse about dietary restrictions. How should the nurse respond?

Correct Answer is C

Explanation

Which information should the nurse include when giving discharge instructions to a client following a left eye cataract extraction with a lens implant?

The nurse is admitting a client with possible tuberculosis (TB). The client is placed in a private room with airborne precautions pending diagnostic test results. Which diagnostic test should the nurse review to confirm the diagnosis of TB?

Patient Data Exhibits According to the client's vital signs, he is experiencing dropdown and dropdown

The nurse is caring for a client who has been admitted with a diagnosis of esophageal cancer. The client reports a pain level of 8 on a 0 to 10 pain scale, dysphagia, anorexia, anxiety and a hoarse voice. Which nursing problem is the priority for this client?

A client with open-angle glaucoma asks the nurse how long the prescribed eye drops will need to be used. Which response made by the nurse is accurate?