A nurse is providing education to the partner of a client who has hepatic encephalopathy about a prescription for lactulose. Which of the following statements should the nurse make to the client's partner?

"There should be a decrease in the number of bowel movements with this medication."

"IV administration is the preferred route to give this medication."

"This medication will treat the infection that is causing the confusion."

"We will monitor the serum ammonia level to help determine if the medication is effective."

Answer and Explanation

The Correct Answer is D

A. Lactulose is a laxative that works by reducing the absorption of ammonia in the colon, leading to increased bowel movements. Therefore, there should be an increase rather than a decrease in the number of bowel movements with this medication.

B. Lactulose is typically administered orally or rectally, not intravenously.

C. Lactulose does not treat infection; it helps reduce ammonia levels in hepatic encephalopathy by promoting bowel movements to expel ammonia.
D. Monitoring the serum ammonia level is essential in assessing the effectiveness of lactulose therapy. Reduction in serum ammonia levels indicates that the medication is working to reduce ammonia absorption in the colon.

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Correct Answer is ["B","C"]

Explanation

A. Legumes are a good source of protein but are considered an incomplete protein because they do not contain all essential amino acids.
B. Poultry is a complete protein as it contains all essential amino acids necessary for the human body.
C. Eggs are also a complete protein, providing all essential amino acids.
D. Nuts, similar to legumes, are an incomplete protein because they lack one or more of the essential amino acids.
E. Grains are typically incomplete proteins as they do not have all the essential amino acids that the body requires. However, when combined with other incomplete proteins, they can provide a complete protein profile.

A. Sip fluids slowly throughout the day. B. Sit up for 1 hr after eating meals. C. Consume foods that are served cold. D. Eat foods low in carbohydrates. E. Limit use of antiemetics until after first emesis.

Correct Answer is ["A","B","C"]

Explanation

A. Sipping fluids slowly can help prevent dehydration and may help alleviate nausea.
B. Sitting up for 1 hour after eating meals can help prevent reflux and reduce the likelihood of nausea.
C. Cold foods may be better tolerated by individuals experiencing nausea.
D. There is no specific evidence to suggest that eating foods low in carbohydrates helps with chemotherapy-induced nausea.
E. Antiemetics should be taken as prescribed, and delaying their use until after experiencing vomiting may lead to inadequate control of nausea and vomiting. It's important for the client to follow the healthcare provider's instructions regarding the use of antiemetics.

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A nurse is providing education to the partner of a client who has hepatic encephalopathy about a prescription for lactulose. Which of the following statements should the nurse make to the client's partner?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client about protein. Which of the following foods should the nurse include in the teaching as a complete protein? (Select all that apply)

Correct Answer is ["B","C"]

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Explanation

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