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
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Tolerance refers to where there is reduced responsiveness to a drug due to prolonged exposure to the drug requiring higher doses to achieve the same effect. This effect requires progressive increment in dosages of the medication which may increase the risk for toxicity.
A. Addiction is characterized by compulsive efforts to acquire the drug despite being aware of its adverse consequences
C and D are not related to the continuous need for higher doses of morphine
Correct Answer is C
Explanation
Cyclobenzaprine is a muscle relaxant used to relieve muscle spasms in various musculoskeletal conditions. One of the common side effects of cyclobenzaprine is drowsiness and impaired cognitive function, which can affect the ability to operate machinery or drive safely.
A. Cyclobenzaprine is used to reduce muscle spasms, so monitoring for increased muscle spasms would not be appropriate.
B. Nausea can be a common side effect of cyclobenzaprine, but it does not typically require discontinuation of the medication unless it is severe or persistent and causing significant distress.
D. Cyclobenzaprine does not typically cause urine discoloration, so expecting urine to turn orange is not relevant to the medication.
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