The nurse is caring for a client who has ascites and hepatic encephalopathy. Which of the following prescriptions should the nurse clarify with the primary healthcare provider (PHCP)?

Rifaximin

Lactulose

Spironolactone

Alprazolam

Answer and Explanation

The Correct Answer is D

Choice A rationale: Used in the management of hepatic encephalopathy by reducing the production of ammonia in the gut.

Choice B rationale: Often prescribed to reduce ammonia levels in hepatic encephalopathy by promoting bowel movements and aiding ammonia excretion. Choice C rationale: Typically used in managing ascites by reducing fluid retention and treating edema.

Choice D rationale: This medication can potentially worsen hepatic encephalopathy due to its sedative effects and impact on mental function. It's crucial to clarify its use in a patient with hepatic encephalopathy.

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Correct Answer is C

Explanation

Choice A rationale: A glycated hemoglobin (HbA1c) value of 6.9 indicates that the client has prediabetes, which is a risk factor for developing diabetes.

Choice B rationale: A postprandial blood glucose level of 170 mg/dL is within the normal range.

Choice C rationale: This indicates that the client has diabetes mellitus. According to the American Diabetes Association, a diagnosis of diabetes can be made if one of the

following criteria is met: a fasting plasma glucose level of 126 mg/dL or higher, a postprandial blood glucose level of 200 mg/dL or higher, or an HbA1c value of 6.5% or higher.

Choice D rationale: A fasting plasma glucose level of 90 mg/dL is within the normal range.

A. Smokes 1 pack of cigarettes per day B. Drinks one alcoholic beverage per day C. Large body stature D. History of bone fracture during childhood

Correct Answer is A

Explanation

Choice A rationale: Smoking is a risk factor for osteoporosis as it can interfere with calcium absorption and decrease bone density.

Choice B rationale: Moderate alcohol consumption isn't a significant risk factor for osteoporosis.

Choice C rationale: Generally, having a larger body stature is not considered a significant risk factor for osteoporosis.

Choice D rationale: While fractures during childhood can affect bone health, they might not necessarily predict osteoporosis risk in adulthood.

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The nurse is caring for a client who has ascites and hepatic encephalopathy. Which of the following prescriptions should the nurse clarify with the primary healthcare provider (PHCP)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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