A nurse is providing education to the partner of a client who has hepatic encephalopathy about a prescription for lactulose. Which of the following statements should the nurse make to the client's partner?
"There should be a decrease in the number of bowel movements with this medication."
"IV administration is the preferred route to give this medication."
"This medication will treat the infection that is causing the confusion."
"We will monitor the serum ammonia level to help determine if the medication is effective."
The Correct Answer is D
A. Lactulose is a laxative that works by reducing the absorption of ammonia in the colon, leading to increased bowel movements. Therefore, there should be an increase rather than a decrease in the number of bowel movements with this medication.
B. Lactulose is typically administered orally or rectally, not intravenously.
C. Lactulose does not treat infection; it helps reduce ammonia levels in hepatic encephalopathy by promoting bowel movements to expel ammonia.
D. Monitoring the serum ammonia level is essential in assessing the effectiveness of lactulose therapy. Reduction in serum ammonia levels indicates that the medication is working to reduce ammonia absorption in the colon.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Omeprazole is a proton pump inhibitor used to reduce stomach acid and treat conditions such as ulcers and gastroesophageal reflux disease. It is not typically associated with an increased risk of wound dehiscence.
B. Prednisone is a corticosteroid that can impair wound healing and increase the risk of wound dehiscence, particularly in high doses or when used for prolonged periods.
C. Zolmitriptan is a medication used to treat migraine headaches and is not associated with an increased risk of wound dehiscence.
D. Verapamil is a calcium channel blocker used to treat hypertension and certain heart rhythm disorders. It is not typically associated with an increased risk of wound dehiscence.
Correct Answer is D
Explanation
A. While vitamin B12 is important for overall health, it is not specifically associated with the prevention of neural tube defects. Folate, however, is crucial for preventing neural tube defects in the developing fetus.
B. Calcium is important for bone health but is not specifically associated with the prevention of neural tube defects.
C. Magnesium is important for various bodily functions but is not specifically associated with the prevention of neural tube defects.
D. Folate (also known as folic acid) is the key nutrient recommended for preventing neural tube defects in the fetus. Pregnant women are advised to consume adequate amounts of folate, either through their diet or through supplements.
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