A nurse is caring for a client who has cirrhosis and a prescription for lactulose. Following administration, the nurse should monitor the client for which of the following adverse effects?

Peripheral edema

Diarrhea

Dry mouth

Headache

Answer and Explanation

The Correct Answer is B

After administering lactulose to a client with cirrhosis, the nurse should monitor for the adverse effects of diarrhea. Lactulose is a laxative commonly used in the treatment of hepatic encephalopathy, which can occur in individuals with cirrhosis. One of the intended effects of lactulose is to promote bowel movements and reduce the absorption of ammonia in the gut, thus helping to manage hepatic encephalopathy.

While lactulose can cause adverse effects such as diarrhea, it is not typically associated with peripheral edema. Peripheral edema is often seen in cirrhosis due to fluid retention caused by liver dysfunction.

Dry mouth and headache are less commonly associated with lactulose use and are not typically the primary adverse effects to monitor for in this scenario.

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Correct Answer is ["14"]

Explanation

To calculate the infusion rate in drops per minute (gtt/min), we can use the following formula: Infusion rate (gtt/min) = (Volume to be infused (ml) * Drop factor) / Time (min) Given:

Volume to be infused: 1000 ml

Drop factor: 10 gtt/ml

Time: 12 hr

First, we need to convert the time from hours to minutes:

12 hr * 60 min/hr = 720 min

Now, we can calculate the infusion rate:

Infusion rate (gtt/min) = (1000 ml * 10 gtt/ml) / 720 min

Simplifying the equation:

Infusion rate (gtt/min) = 10000 gtt / 720 min

Dividing both sides:

Infusion rate (gtt/min) ≈ 13.89 gtt/min

Rounding the answer to the nearest whole number, the nurse should set the manual IV infusion to deliver approximately 14 gtt/min.

A. One hour before breakfast and the evening meal B. At the time the client takes a proton pump inhibitor C. Thirty minutes after breakfast and the evening meal D. The time the client takes an antacid

Correct Answer is A

Explanation

Sucralfate is a medication used to treat peptic ulcers by forming a protective coating on the stomach lining. It should be taken on an empty stomach, as food can interfere with its absorption and effectiveness. One hour before breakfast and the evening meal is the correct timing for administering sucralfate, allowing for an empty stomach before meals.

At the time the client takes a proton pump inhibitor: Proton pump inhibitors are a different class of medications used to reduce stomach acid production. It is recommended to administer sucralfate separately, as it works differently and has different administration requirements.

Thirty minutes after breakfast and the evening meal: Administering sucralfate after meals is not ideal, as it may not provide the desired therapeutic effect on an empty stomach.

The time the client takes an antacid: Antacids are also different from sucralfate, and they can interfere with its absorption. It is generally recommended to administer sucralfate separately from antacids.

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A nurse is caring for a client who has cirrhosis and a prescription for lactulose. Following administration, the nurse should monitor the client for which of the following adverse effects?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["14"]

Explanation

A nurse is planning care for a client who has a peptic ulcer and a new prescription for sucralfate 2 gm administered twice daily. Which of the following times should the nurse plan to administer the medication?

Correct Answer is A

Explanation

A nurse is caring for a client who has gastroesophageal disease and a prescription for metoclopramide. For which of the following adverse effects should the monitor?

A charge nurse overhears a newly licensed nurse providing instructions to a female client on the proper steps to collect a midstream urine specimen. Which of the following statements made by the newly licensed nurse requires the charge nurse to intervene?

A charge nurse planning care for a group of clients is delegating tasks to an assistive personnel (AP). Which of the following tasks should the nurse delegate to the AP?

A nurse is reinforcing teaching a client who has peptic ulcer disease and is starting therapy with sucralfate. Which of the following instructions should the nurse include in the teaching?

A nurse is collecting data from a client who has gastroesophageal reflux disease (GERD) and reports having heartburn every night. Which of the following actions should the nurse identify as a contributing factor to the client's heartburn?

A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following findings should the nurse identify as a risk factor for this condition?

A nurse is reinforcing teaching with a client who has gastroesophageal reflux disease (GERD) about minimizing the effects of reflux during sleep. Which of the following client statements indicates an understanding of the teaching?

A nurse is caring for a client who has a prescription for a stool guaiac test. The client asks the nurse about the purpose of the test. The nurse should respond by stating that the stool guaiac is testing for which of the following findings in the client's feces?