The nurse is caring for a client who has ascites and hepatic encephalopathy. Which of the following prescriptions should the nurse clarify with the primary healthcare provider (PHCP)?
Rifaximin
Lactulose
Spironolactone
Alprazolam
The Correct Answer is D
Choice A rationale: Used in the management of hepatic encephalopathy by reducing the production of ammonia in the gut.
Choice B rationale: Often prescribed to reduce ammonia levels in hepatic encephalopathy by promoting bowel movements and aiding ammonia excretion. Choice C rationale: Typically used in managing ascites by reducing fluid retention and treating edema.
Choice D rationale: This medication can potentially worsen hepatic encephalopathy due to its sedative effects and impact on mental function. It's crucial to clarify its use in a patient with hepatic encephalopathy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: This is a condition that causes scar tissue to form in the penis, resulting in abnormal curvature, pain, and erectile dysfunction.
Choice B rationale: Hypospadias is a congenital defect in which the opening of the urethra is on the underside of the penis, not at the tip.
Choice C rationale: Phimosis is a condition in which the foreskin of the penis cannot be retracted fully, leading to inflammation and infection.
Choice D rationale: Orchitis is an inflammation of one or both testicles, usually caused by an infection.
Correct Answer is A
Explanation
Choice A rationale: Phenazopyridine can cause a harmless side effect of turning urine a reddish-orange color.
Choice B rationale: Phenazopyridine is not contraindicated in individuals allergic to penicillin.
Choice C rationale: Phenazopyridine is not an antibiotic; it's a medication used to relieve urinary pain. Antibiotics are prescribed separately to treat UTIs.
Choice D rationale: Phenazopyridine should be taken with food or after eating to minimize stomach upset, but it doesn't need to be taken between meals or at bedtime.
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