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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Correct Answer is C

Explanation

Docusate sodium is used as a stool softener in these cases to promote bowel movements. Adequate water intake increases hydration and also works synergistically to promote bowel movements increasing its effectiveness.
A. Taking docusate on an empty stomach is not necessary. It can be taken with or without food.
B. Abdominal pain is not a common side effect of docusate. In fact, it is usually well tolerated.
D. There is no specific requirement to avoid taking docusate before bedtime. It can be taken at any time of day as directed by the healthcare provider.

A. Cimetidine B. Dextromethorphan C. Prednisone D. Atorvastatin

Correct Answer is C

Explanation

Prednisone is a corticosteroid used in the management of inflammatory disorders like gouty arthritis, rheumatoid arthritis and connective tissue disorders. Prednisone, like other corticosteroids have a counter regulatory effect in glucose metabolism and increases insulin resistance in the peripheral tissues leading to hyperglycemia
A- Cimetidine is a histamine receptor antagonist used in management of gastric ulcers. It has no effect of glucose tolerance.
B. Dextromethorphan is a cough suppressant use in upper respiratory infections and has no effect on glucose tolerance.
D. Atorvastatin is a lipid lowering agent used to reduce the risk of cardiovascular event such as myocardial infarction and stroke. It has no effect on glucose

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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 teaching a client who has a new prescription for docusate. Which of the following information should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is reviewing the medication list for a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize Which of the following medications can cause glucose intolerance?

Correct Answer is C

Explanation

A nurse is assessing a client who is taking levothyroxine. The nurse should recognize that which of the following findings is a manifestation of levothyroxine overdose?

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A nurse is providing discharge teaching to a client who has asthma and a new prescription for fluticasone/salmeterol. For Which if the following adverse effects should the nurse instruct the client to report to the provider?

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