A client with cirrhosis is scheduled to receive a third dose of lactulose (Cephulac) at 1800. Which current finding would cause the nurse to question administering this medication?

Breath with fecal odor

Increasing confusion

Serum ammonia level 72 mcg/dL (15-45 mcg/dL)

Diarrhea

Answer and Explanation

The Correct Answer is D

A)   Breath with fecal odor could indicate hepatic encephalopathy, for which lactulose is indicated.
B)   Increasing confusion is a symptom of hepatic encephalopathy suggests a need for lactulose.
C)   Elevated ammonia levels indicate hepatic encephalopathy hence the need for lactulose.
D)   If the client already has diarrhea, additional doses of lactulose (which acts as a laxative) could exacerbate this condition and might need to be adjusted or halted based on clinical judgment.

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Correct Answer is D

Explanation

A) Checking blood glucose daily is not directly relevant unless the client also has diabetes.

B) While this can indicate other health issues, it is not specific post-paracentesis advice.
C) A low carbohydrate diet is not typically related to post-paracentesis care unless specified by the healthcare provider for other underlying conditions.
D) Change positions slowly is important to prevent postural hypotension and falls after fluid removal during paracentesis. It prevent dizziness or lightheadedness due to fluid shifts or blood pressure changes after the procedure.

A. WBC 10,000/mm3 (5,000-10,000 mm3) B. Serum potassium 3.5 mEq/L (3.5-5.0 mEq/L) C. Serum albumin 4.8 g/dL (3.5-5 g/dL) D. Lipase 900 u/L (20-180 u/L)

Correct Answer is D

Explanation

A) While an elevated WBC count may indicate infection, it is not unexpected in acute pancreatitis.
B) Serum potassium within normal range does not require immediate intervention.

C) Serum albumin within normal range does not require immediate intervention.

D) Lipase levels significantly elevated above the normal range indicate ongoing pancreatic inflammation and may require intervention or adjustment of treatment.

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A client with cirrhosis is scheduled to receive a third dose of lactulose (Cephulac) at 1800. Which current finding would cause the nurse to question administering this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing discharge teaching for a client who has had a paracentesis. What information should be included in the education session?

Correct Answer is D

Explanation

Correct Answer is D

Explanation

When reviewing a client's health history, which information does the nurse identify as a risk factor for development of chronic pancreatitis?

A client with cirrhosis is scheduled to receive a third dose of lactulose (Cephulac) at 1800. Which current finding would cause the nurse to question administering this medication?

An adult client is admitted to the emergency department with symptoms of acute pancreatitis. Which data support this diagnosis?

A female client is visiting the Medical Clinic with suspected hepatitis C. Which assessment question should the nurse ask this client?

The nurse is admitting a client diagnosed with ascites. Which assessment finding would the nurse anticipate?

The nurse is preparing to administer spironolactone (Aldactone) and furosemide (Lasix) at 0900 to a client diagnosed with ascites. Review of 0600 laboratory results shows serum sodium 130 mEq/L (136-145 mEq/L) and potassium 3.1 mEq/L (3.5-5.0 mEq/L). Which action should the nurse take first?

The nurse is caring for a client with chronic pancreatitis who exhibits signs of malabsorption. The nurse recognizes that this is due to which pathophysiology process?

A nurse is planning care for a client who has hepatitis B. Which of the following interventions should the nurse include in the plan?