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Exhibits

Review H and P, nurse's notes, flow sheet, and prescriptions.

Mark whether the assessment finding represents a therapeutic result of the lactulose administered, a non-therapeutic side-effect, or an unrelated finding. Each row must have only one option selected.

A.

Reported slight rectal burning sensation

B.

Large, soft stool

C.

Dizziness

D.

Pain level of 3 on a 0 to 10 pain scale

E.

600ml of urine

F.

Abdomen soft and flat

G.

Respiratory rate 13 breaths/min

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"C"},"E":{"answers":"C"},"F":{"answers":"C"},"G":{"answers":"C"}}

  • The reported slight rectal burning sensation after the administration of a bisacodyl suppository is likely a non-therapeutic side effect. This sensation is a common reaction to rectal medication administration and not directly related to the therapeutic effects of lactulose.
  • A large, soft stool can be considered a therapeutic result of lactulose, which is often prescribed as a laxative to treat constipation. Its effectiveness is indicated by the production of soft stools.
  • Dizziness experienced by the patient after requesting to use the restroom could be an unrelated finding or a non-therapeutic side effect. Given that morphine was administered, which can cause dizziness as a side effect, it is important to consider all medications and their interactions when assessing this symptom.
  • A pain level of 3 on a 0 to 10 pain scale is an unrelated finding concerning the administration of lactulose. Pain assessment is subjective and can be influenced by various factors unrelated to lactulose treatment.
  • The voiding of 600ml of urine is an unrelated finding to the lactulose treatment. Urine output is influenced by many factors, including fluid intake and other medications.
  • An abdomen that is soft and flat is an unrelated finding to the lactulose treatment. This is a normal physical examination finding and does not directly correlate with the administration of lactulose.
  • A respiratory rate of 13 breaths/min is also an unrelated finding to the lactulose treatment. The normal respiratory rate for an adult is typically between 12 to 20 breaths per minute.


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Related Questions

Correct Answer is A

Explanation

A. A platelet count of 100,000/mm3 indicates thrombocytopenia, which increases the risk of bleeding with enoxaparin and requires immediate action.
B. A serum creatinine level of 1.0 mg/dL is within the normal range and does not require immediate action.
C. A BUN level of 20 mg/dL is at the upper end of the normal range but does not typically require immediate action unless accompanied by other symptoms.
D. A hematocrit level of 45% is within the normal range and does not require immediate action.

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}

Explanation

Blank 1: Adverse drug reaction: The client’s symptoms of dizziness, headache, burning sensation, redness, flushing, hives, and itching after the administration of vancomycin indicate a severe allergic reaction, likely "Red Man Syndrome," which is an adverse drug reaction.

Blank 2: Antibiotic: The blood pressure changes (initial drop to 108/46 mmHg) are most likely due to the adverse reaction to the vancomycin infusion. The hypotension occurred as a direct result of the antibiotic administration.

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