A client who is being treated with lactulose reports experiencing several soft stools daily. What is the nurse's best response?
A. "This is the normal expected response to this medication."
B. "You may take Kaopectate liquid three times daily for loose stools."
C. "Do not take any more of the medication until I check with your physician."
D. "We will need to send a stool specimen to the laboratory for culture and sensitivity."
A
The purpose of administering lactulose to this client is to assist ammonia in leaving the circulatory system through the colon. Lactulose draws water into the bowel with its high osmotic gradient, thereby producing a laxative effect and subsequently evacuating ammonia from the bowel.
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The nurse assesses respirations of a patient demonstrating pursed-lip breathing, flared nostrils, and retractions. How will the nurse describe these respirations?
a. Tachypnea b. Stertorous c. Dyspnea d. Cheyne-Stokes
Two specific types of patient responses in drug therapy a nurse must check are
1. action coding and action transferred. 2. drug feedback and drug uptake. 3. therapeutic effects and adverse effects. 4. uptime levels and downtime levels.
The nurse assessing a client's big toe notes hardened nodules on the lateral aspect of the toe, as well as redness, swelling, and pain. Which condition should the nurse suspect?
A. Synovitis. B. Hammertoe. C. Gout. D. Bunion.
The nurse working in a long-term care facility notices that one of the residents has had a recent decline in self-esteem. What intervention would be appropriate for this resident?
1. Ask the resident for advice in setting up an activity in the dayroom. 2. Keep the resident too busy to dwell in the past. 3. Don't allow the resident to talk about minor concerns. 4. Meet with the social worker to plan all of the client's care.