The nurse is assessing a patient taking lactulose to treat chronic constipation. Which adverse effect should the nurse immediately report to the healthcare provider?

Abdominal tenderness

Abdominal spasms

Nausea

Flatulence

Answer and Explanation

The Correct Answer is A

A. Abdominal tenderness: This can indicate serious complications, such as bowel obstruction or perforation, and must be reported immediately.

B. Abdominal spasms: This is a common side effect of lactulose due to increased bowel motility but is not immediately concerning unless severe.

C. Nausea: A mild, common side effect of lactulose that usually resolves with continued use.

D. Flatulence: A common, benign side effect caused by fermentation of lactulose in the colon.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Dairy products are encouraged: Dairy products can exacerbate symptoms of IBD, particularly diarrhea, and are typically restricted in many patients with IBD.

B. Low roughage should be followed: A low-roughage (low-fiber) diet helps manage diarrhea and reduce irritation in the intestines for patients with IBD.

C. Protein foods are restricted: Protein is not typically restricted in IBD. In fact, patients may need higher protein intake to support healing and maintain nutrition.

D. No added salt is required: There is no specific indication that salt needs to be restricted unless the patient has other conditions (e.g., hypertension or edema). Generally, a balanced diet is encouraged unless otherwise specified by the provider.

A. Encourage turning, coughing, and deep breathing every 2 hours. B. Raise the knee gatch to prevent the patient from sliding down in bed. C. Provide undisturbed periods of 6 hours to encourage rest. D. Restrict fluids.

Correct Answer is A

Explanation

A. Encourage turning, coughing, and deep breathing every 2 hours: Bed rest increases the risk of respiratory complications like atelectasis and pneumonia, so encouraging turning, coughing, and deep breathing helps prevent these complications by improving lung ventilation.

B. Raise the knee gatch to prevent the patient from sliding down in bed: While this may help position the patient, it is not the priority action to prevent complications related to bed rest and hepatitis.

C. Provide undisturbed periods of 6 hours to encourage rest: While rest is important, prolonged periods without movement can lead to complications like pneumonia or pressure ulcers. Movement should still be encouraged.

D. Restrict fluids: Fluid restriction is not necessary for most hepatitis patients unless there are specific complications like ascites or severe edema. Fluid intake should generally be encouraged to prevent dehydration.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is assessing a patient taking lactulose to treat chronic constipation. Which adverse effect should the nurse immediately report to the healthcare provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Colonoscopy results indicate the diagnosis of irritable bowel disease (IBD) in a patient admitted to the hospital with diarrhea. What information should the nurse include when preparing patient education regarding diet?

Correct Answer is B

Explanation

What action should a nurse implement to prevent complications in a patient with hepatitis who has been prescribed bed rest?

Correct Answer is A

Explanation

A nurse provides education to a patient after a hemorrhoidectomy. Which statement by the patient demonstrates the need for further instruction?

A nurse is contributing to the plan of care for a client who has cirrhosis and ascites. Which of the following interventions should the nurse recommend for inclusion in the plan of care?

A patient in acute pain is admitted with pancreatitis. A nurse reviews a laboratory report showing an elevation that is diagnostic for acute pancreatitis. Which laboratory report did the nurse most likely review?

The nurse is to infuse 1 liter of D10W over 8 hours. What rate will the nurse set the iv pump for??

A nurse is caring for a patient with esophageal surgery who has had stents placed in the esophagus and instructs the patient how best to avoid regurgitation. What should the nurse include in this instruction?

A nurse is reinforcing teaching to a parent about the use of nystatin for an infant who has oral candidiasis. Which of the following statements by the parent indicates an understanding of the administration of nystatin?

A young woman with severe jaundice has an altered body image. The patient says, "Will I always be this horrible color?" What is the best response by the nurse?

What is pruritus related to in the patient diagnosed with hepatitis?