A client received psyllium this morning. Which assessment finding indicates a therapeutic effect of the medication?

1 x soft bowel movement

Gastric pH 2 (Normal pH: 1-4)

500 ml of urine output

Blood glucose: 95 (Normal Fasting Blood Glucose: 60-120)

Answer and Explanation

The Correct Answer is A

A) 1 x soft bowel movement: This is the correct answer. Psyllium is a bulk-forming laxative that helps to relieve constipation by absorbing water into the stool, making it easier to pass. A therapeutic effect of psyllium would be the client experiencing a soft bowel movement, indicating the medication has helped to regulate the client's bowel movements and relieve constipation.

B) Gastric pH 2 (Normal pH: 1-4): While this is a normal gastric pH range, it is not related to the therapeutic effect of psyllium. Psyllium works in the gastrointestinal tract to promote bowel regularity, not to alter gastric pH. The pH measurement of gastric contents is not a relevant indicator of the medication's effectiveness.

C) 500 ml of urine output: This finding is not related to the therapeutic effect of psyllium. Psyllium is intended to address bowel function, not urine output. Adequate urine output should be monitored, but it is not the expected outcome for a patient taking psyllium.

D) Blood glucose: 95 (Normal Fasting Blood Glucose: 60-120): While a normal blood glucose level is important, it is not relevant to the action of psyllium. Psyllium does not have a direct effect on blood glucose levels, so a normal blood glucose result is not indicative of a therapeutic effect of the medication.

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Correct Answer is D

Explanation

A) The ammonia level has decreased each day starting the lactulose: While a decrease in ammonia levels is an important indicator of improvement in hepatic encephalopathy, it is not the best assessment of the therapeutic response to lactulose. The goal of lactulose therapy is to reduce ammonia levels, but the most direct evaluation of therapeutic effect is related to the client's mental status, not just laboratory results.

B) The liver enzymes AST and ALT have decreased to normal levels: Liver enzyme levels such as AST (aspartate aminotransferase) and ALT (alanine aminotransferase) are important indicators of liver function, but they do not directly reflect the effectiveness of lactulose in treating hepatic encephalopathy. These enzymes may improve as liver function improves, but they are not the most immediate or specific indicator of lactulose’s therapeutic effect.

C) The client is having 5-6 soft, non-formed stools each day: Lactulose works by drawing water into the bowel to promote stool softening and increase bowel movements, which can help lower ammonia levels in the body. While frequent soft stools can be an effect of lactulose, this is not the best measure of therapeutic response in hepatic encephalopathy. The primary goal is improvement in the client's mental status, not just bowel function.

D) The client is awake, alert, and oriented to their environment: The best assessment of the therapeutic response to lactulose is the improvement in the client’s mental status. Lactulose works by reducing the absorption of ammonia from the gastrointestinal tract, which is responsible for the cognitive impairments seen in hepatic encephalopathy. If the client is awake, alert, and oriented, this indicates that lactulose is effectively reducing the ammonia levels and improving the neurological status of the client, making it the most appropriate assessment.

Correct Answer is ["12"]

Explanation

1. Convert the child's weight from pounds to kilograms:

There are approximately 2.2 pounds in 1 kilogram.

33 pounds / 2.2 pounds/kg = 15 kg (approximately)

2. Calculate the total milligrams of amoxicillin needed per dose:

The order is for 20 mg/kg/dose.

The child weighs 15 kg.

20 mg/kg * 15 kg = 300 mg

3. Determine the concentration of the amoxicillin suspension:

The label shows the concentration is 125 mg/5 mL.

4. Set up a proportion to find the volume (in mL) needed:

125 mg / 5 mL = 300 mg / x mL

5. Solve for x:

Cross-multiply: 125x = 300 * 5

125x = 1500

x = 1500 / 125

x = 12 mL

Answer: You will administer 12 mL per dose.

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A client received psyllium this morning. Which assessment finding indicates a therapeutic effect of the medication?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for client with liver failure admitted with hepatic encephalopathy, Lactulose is ordered Q2 hours. What assessment finding should the nurse use to best evaluate therapeutic response of the medication?

Correct Answer is D

Explanation

The order reads "amoxicillin 20mg/kg/dose PO every 8 hours." The child weighs 33 pounds. Using the label below, how many mL will you administer per dose? (Enter a number only, answer to the nearest tenths place)

Correct Answer is ["12"]

Explanation

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