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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Having someone remain with the client for 30 minutes after meals can provide support and encouragement to prevent purging behaviorwhich are common with bulimia andnot anorexia nervosa.
B. Offering a selection of beverages at each meal may not directly address the underlying issues associated with anorexia nervosa.
C. Informing the client of a specific weight gain expectation may increase anxiety and may not be appropriate given the individualized nature of weight restoration in anorexia nervosa
treatment.
D. Encouraging the client to participate in developing dietary goals is important for fostering autonomy and empowerment and is associated with better compliance.
Correct Answer is A
Explanation
A. Pork and its by-products, such as ham, are prohibited in strict halal dietary guidelines.
B. Lentils are permissible in halal dietary guidelines and can be included in the client's meal.
C. Fish is generally permissible in halal dietary guidelines, so baked fish with rice is an acceptable option.
D. Beef is permissible in halal dietary guidelines, but the gravy should be checked to ensure it does not contain any non-halal ingredients.
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