A nurse is caring for a client who has cirrhosis and a new prescription for lactulose. Which of the following manifestations indicates an adverse effect of the medication?

Vomiting

Peripheral edema

Headache

Dry mouth

Answer and Explanation

The Correct Answer is A

Lactulose is used to treat hepatic encephalopathy in clients with cirrhosis. It works by promoting the excretion of ammonia in the stool, thus reducing its absorption in the intestines and helping to manage hepatic encephalopathy. However, if lactulose is administered too quickly or in excessive amounts, it can cause gastrointestinal side effects such as vomiting.

Lactulose does not cause peripheral edema, headache, dry mouth

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Free Nursing Study Resources

Correct Answer is C

Explanation

- Administration of subcutaneous heparin follows the following steps

Wipe the chosen area with alcohol and avoid rubbing
Remove the cap from needle
Gently pinch a fold of skin
Insert the needle at 45 to 90 degrees
Push down the drug into the tissue
Draw the needle out slowly at the same angle
Apply a cotton ball light for 1-2 minutes
Monitor for bleeding

A. Report of recent migraine headaches B. Current diagnosis of glaucoma C. History of gastric ulcers D. Prior reports of amenorrhea

Correct Answer is C

Explanation

A history of gastric ulcers is a contraindication to the use of aspirin. Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) that can irritate the stomach lining and increase the risk of gastrointestinal bleeding and ulcers. Therefore, in a client with a history of gastric ulcers, aspirin should be avoided to prevent exacerbation of the condition and potential complications.
A, B, D - Migraine headaches, glaucoma and amenorrhea are not contraindications to aspirin use

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A nurse is caring for a client who has cirrhosis and a new prescription for lactulose. Which of the following manifestations indicates an adverse effect of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer heparin subcutaneously to a client who has a deep vein thrombosis. Which of the following techniques should the nurse use?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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