The nurse is to administer 30gm of lactulose to a client. The medication is supplied as 10gm/15ml. How many mL would you give to the client.

Answer and Explanation

The Correct Answer is ["45"]

30g x 10g ×15ml=45ml

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Correct Answer is B

Explanation

A. Dorsiflex the client’s foot: Foot dorsiflexion does not assess asterixis; it is used in neurologic tests (e.g., clonus assessment).

B. Ask the client to extend the arms: Asterixis ("liver flap") is a flapping tremor seen in hepatic encephalopathy due to high ammonia levels. The nurse assesses for asterixis by asking the client to extend their arms and dorsiflex their wrists—a positive sign is a flapping movement of the hands.

C. Measure the abdominal girth: Abdominal girth measurement is used to assess ascites, not asterixis.

D. Instruct the client to lean forward: Leaning forward does not help in assessing asterixis; it is more relevant in pericarditis (relieves chest pain).

A. Rifaximin daily B. Low sodium diet C. Low protein diet D. Lactulose 30gm/30 ml PO

Correct Answer is ["A","D"]

Explanation

A. Rifaximin daily: Rifaximin is an antibiotic that helps lower intestinal bacteria, which produce ammonia. It is used to prevent hepatic encephalopathy.

B. Low sodium diet: A low sodium diet helps manage ascites and fluid retention but does not lower ammonia levels.

C. Low protein diet: Though historically used to reduce ammonia production, current practices focus on optimizing protein intake rather than strictly limiting it to prevent malnutrition..

D. Lactulose 30 gm/30 mL PO: Lactulose traps ammonia in the gut and excretes it through the stool, reducing blood ammonia levels and preventing hepatic encephalopathy.

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The nurse is to administer 30gm of lactulose to a client. The medication is supplied as 10gm/15ml. How many mL would you give to the client.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reviewing the record of a client with a diagnoses of Cirrhosis and notes that there is documentation of the presence of asterixis. How should the nurse assess for its presence?

Correct Answer is B

Explanation

The nurse is caring for a client with cirrhosis, portal hypertension, and encephalopathy. Which of the following orders would be anticipated to lower the ammonia level? (Select All that Apply)

Correct Answer is ["A","D"]

Explanation

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