A nurse is caring for a client who has cirrhosis and a new prescription for lactulose. Which of the following manifestations indicates an adverse effect of the medication?

Vomiting

Peripheral edema

Headache

Dry mouth

Answer and Explanation

The Correct Answer is A

Lactulose is used to treat hepatic encephalopathy in clients with cirrhosis. It works by promoting the excretion of ammonia in the stool, thus reducing its absorption in the intestines and helping to manage hepatic encephalopathy. However, if lactulose is administered too quickly or in excessive amounts, it can cause gastrointestinal side effects such as vomiting.

Lactulose does not cause peripheral edema, headache, dry mouth

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Correct Answer is D

Explanation

Bethanechol is a cholinergic agonist used to stimulate contraction of the bladder to help in the expulsion of urine. It is used in the management of urinary retention by promoting bladder emptying. Therefore, it should be administered when the client reports an inability to void, as this indicates urinary retention
A. Bladder spasms are treated with Oxybutynin
B. Frequent painful urination is a feature of UTI requiring antibiotics
C. Bethanechol has no analgesic property

A. Limit caffeine intake. B. Rinse the mouth after administration. C. Check the pulse after medication administration. D. Take the medication with meals.

Correct Answer is B

Explanation

Beclomethasone is an inhaled corticosteroid used as controller therapy is asthma to prevent bronchial hyperresponsiveness and airway remodeling. Rinsing the mouth prevents oral thrush and throat irritation that may occur due to continuous deposition of the steroid in the mouth.
A. Beclomethasone has no significant interaction with caffeine
C. Beclomethasone does not cause changes in pulse
D. Being an inhaled medication, it has no relation with meals

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A nurse is caring for a client who has cirrhosis and a new prescription for lactulose. Which of the following manifestations indicates an adverse effect of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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