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.

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Correct Answer is B

Explanation

A. 625 ml/hr: This rate would administer 625 ml per hour, which is too fast for 1 liter over 8 hours.

B. 125 ml/hr: To administer 1 liter (1000 ml) over 8 hours, divide 1000 ml by 8 hours: 1000 ml ÷ 8 hours = 125 ml/hr.

C. 250 ml/hr: This rate would administer 250 ml per hour, which would result in the infusion being completed in 4 hours, not 8.

D. 125 gtt/min: This option is incorrect because it gives a rate in drops per minute, not milliliters per hour.

A. 2 hours after the H2 antagonist B. Within an hour after the H2 antagonist C. With the H2 antagonist D. 30 minutes prior to the H2 antagonist

Correct Answer is A

Explanation

A. 2 hours after the H2 antagonist: Antacids should be administered at least 1 to 2 hours after H2 antagonists to avoid reducing the effectiveness of the H2 antagonist. H2 antagonists work by reducing stomach acid, and antacids neutralize it, so taking them too close together may reduce the effectiveness of both.

B. Within an hour after the H2 antagonist: This is incorrect because taking an antacid too soon after an H2 antagonist can interfere with the drug's action.

C. With the H2 antagonist: This is incorrect because administering antacids with an H2 antagonist could reduce the effectiveness of both medications.

D. 30 minutes prior to the H2 antagonist: This is incorrect because antacids should not be given before the H2 antagonist, as it may decrease the medication's effectiveness.

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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

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

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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