The nurse is caring for a client who is prescribed lactulose. The client states, "I do not want to take this medication because it causes diarrhea." How would the nurse respond?

"Diarrhea is expected; that's how your body gets rid of ammonia."

"You may take antidiarrheal medication to prevent loose stools."

"Do not take any more of the medication until your stools firm up."

"We will need to send a stool specimen to the laboratory as soon as possible."

Answer and Explanation

The Correct Answer is A

A. Lactulose is prescribed to reduce ammonia levels in clients with hepatic encephalopathy. It works by promoting the excretion of ammonia through increased bowel movements. Loose stools are expected and indicate the medication is working.

B. Antidiarrheals would counteract the purpose of lactulose and are not appropriate.

C. Stopping the medication due to loose stools would prevent ammonia clearance and may worsen the client’s condition.

D. A stool specimen is not necessary unless there are signs of infection or abnormal characteristics not explained by the medication.

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Correct Answer is C

Explanation

A. While starch and protein are part of a balanced diet, excessive protein is not directly linked to biliary colic prevention.

B. High-fiber foods promote overall digestive health but are not the primary focus for preventing biliary colic.

C. High-fat foods stimulate the gallbladder to contract, which can trigger pain (biliary colic) in clients with chronic cholecystitis. Avoiding fatty foods is essential in managing symptoms.

D. Sodium intake affects fluid balance and blood pressure but is not directly related to gallbladder function or biliary colic.

A. Cooked cabbage B. Dried apricots C. Ripe bananas D. Ice cream

Correct Answer is B

Explanation

A. Cooked vegetables like cabbage are lower in fiber than raw ones and may be allowed in small amounts depending on tolerance.

B. Dried apricots are high in fiber and should be avoided on a low-fiber diet, making them inappropriate for ulcerative colitis management.

C. Ripe bananas are low in fiber and generally well tolerated, often recommended during flare-ups.

D. Ice cream is low in fiber, though clients who are lactose intolerant may need to avoid it for other reasons.

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The nurse is caring for a client who is prescribed lactulose. The client states, "I do not want to take this medication because it causes diarrhea." How would the nurse respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing dietary instructions for a client who has episodes of biliary colic from chronic cholecystitis. Which of the following instructions should the nurse include in the teaching plan?

Correct Answer is C

Explanation

A nurse is completing dietary teaching on consuming a low fiber diet with a client who has ulcerative colitis. Which of the following foods should be eliminated in the client's diet?

Correct Answer is B

Explanation

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