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) Chronic damage to the pancreas can lead to diabetes mellitus due to the destruction of insulin-producing cells.
B) Jaundice is typically associated with liver disease, not directly linked with chronic pancreatitis.
C) Ascites is a complication of liver disease, not typically a direct result of chronic pancreatitis.
D) While steatorrhea is a symptom of chronic pancreatitis due to malabsorption of fats, it is not a complication but rather a direct effect of the enzyme insufficiency.

A. Weight loss B. Cool, clammy skin C. Bruising on flank D. Ascites

Correct Answer is A

Explanation

A) Weight loss is a common symptom of chronic pancreatitis due to malabsorption and decreased appetite.
B) Cool, clammy skin is not typically associated with chronic pancreatitis; it may indicate other conditions such as shock or hypotension.
C) Bruising on the flank is not a typical finding in chronic pancreatitis; it may suggest trauma or other underlying conditions.
D) Ascites, the accumulation of fluid in the abdominal cavity, is more commonly associated with advanced liver disease rather than chronic pancreatitis.

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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

What does the nurse identify as a potential complication of chronic pancreatitis?

Correct Answer is A

Explanation

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

Correct Answer is A

Explanation

When planning care for a client with acute pancreatitis, which order would the nurse anticipate that will contribute to pain control?

The nurse is admitting a client diagnosed with ascites. Which assessment finding would the nurse anticipate?

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 cirrhosis has the following current assessment data: jaundice, decreased appetite, hemoglobin 15 g/dL (14-18 g/dL) and PT of 20.6 seconds (11-12.5 sec). What does the nurse identify as the priority problem for this client?

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

The nurse is preparing discharge teaching for a client who has had a paracentesis. What information should be included in the education session?

The nurse is admitting a client with the diagnosis of hepatic encephalopathy. Which assessment finding should the nurse anticipate?

A nurse is planning care for a client who has hepatitis B. Which of the following interventions should the nurse include in the plan?