A client with cirrhosis is scheduled to receive a third dose of lactulose (Cephulac) at 1800. Which current finding would cause the nurse to question administering this medication?

Breath with fecal odor

Increasing confusion

Serum ammonia level 72 mcg/dL (15-45 mcg/dL)

Diarrhea

Answer and Explanation

The Correct Answer is D

A)   Breath with fecal odor could indicate hepatic encephalopathy, for which lactulose is indicated.
B)   Increasing confusion is a symptom of hepatic encephalopathy suggests a need for lactulose.
C)   Elevated ammonia levels indicate hepatic encephalopathy hence the need for lactulose.
D)   If the client already has diarrhea, additional doses of lactulose (which acts as a laxative) could exacerbate this condition and might need to be adjusted or halted based on clinical judgment.

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Correct Answer is A

Explanation

A) These are dilated veins in the esophagus that can rupture and lead to life- threatening bleeding.
B) While concerning and indicative of hepatic encephalopathy, it is not immediately life-threatening like a variceal bleed.
C) Indicates poor nutritional status and liver function but is not as acutely dangerous as bleeding varices.
D) This is a concern but does not represent an immediate life-threatening condition like esophageal varices.

A. Pancrelipase 500 units/kg PO three times daily with meals B. Ambulate twice daily. C. Pantoprazole 80 mg IV bolus twice daily D. Initiate a low-residue diet.

Correct Answer is C

Explanation

A) Pancrelipase may be prescribed to aid in digestion in chronic pancreatitis but is not typically used in the acute phase.
B) While ambulation may be encouraged as tolerated, it is not a specific prescription for acute pancreatitis.
C) Pantoprazole, a proton pump inhibitor, is often prescribed in acute pancreatitis to reduce gastric acid secretion, thereby reducing pancreatic stimulation and promoting healing.
D) In acute pancreatitis, dietary intake is typically restricted initially, often starting with nothing by mouth (NPO) and progressing to a clear liquid diet as tolerated; a low-residue diet is usually introduced at a later stage.

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A client with cirrhosis is scheduled to receive a third dose of lactulose (Cephulac) at 1800. Which current finding would cause the nurse to question administering this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client with cirrhosis is at risk for developing complications. Which condition is the most serious and potentially life-threatening?

Correct Answer is A

Explanation

A nurse is admitting a client who has acute pancreatitis. Which of the following provider prescriptions should the nurse anticipate?

Correct Answer is C

Explanation

A female client is visiting the Medical Clinic with suspected hepatitis C. Which assessment question should the nurse ask this client?

The nurse is caring for a client with chronic pancreatitis who exhibits signs of malabsorption. The nurse recognizes that this is due to which pathophysiology process?

A client with a history of chronic pancreatitis reports weight loss of 10 pounds over the last month and foul smelling stools. What would be a priority action for the nurse to take?

The nurse notes these laboratory results for a client with cirrhosis: PT 20 seconds (11-12.5 sec) and serum ammonia 35 mcg/dL (15-45 mcg/dL). What action by the nurse would be a priority?

The nurse should evaluate results of which laboratory tests while caring for a client who has cirrhosis of the liver? Select all that apply.

The nurse is providing care to a client admitted with chronic pancreatitis. Which items are appropriate to include in the discharge teaching for this client? Select all that apply.

The nurse is making a home visit to a client with chronic pancreatitis. Which data is consistent with this diagnosis?

The nurse is admitting a client with liver disease who presents with dyspnea, weight gain and abdominal distention. Which order would the nurse anticipate?