You are developing a care plan on Sally, a 67 y.o. patient with hepatic encephalopathy. Which of the following do you include?
A. Administering a lactulose enema as ordered
B. Encouraging a protein-rich diet
C. Administering sedatives, as necessary
D. Encouraging ambulation at least four times a day
Answer: A
Explanation: You may administer the laxative lactulose to reduce ammonia levels in the colon.
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Which of the following statements by your patient leads you to believe that he has understood how to use bulk-forming laxatives?
A) "I will mix the medication with 4–8 ounces of liquid and follow it with an additional 4–8 ounces." B) "I will mix the dry medication with applesauce and then eat prunes before bedtime." C) "I will use milk of magnesia in conjunction with Metamucil until I have a bowel movement." D) "I will decrease the roughage in my diet while I am taking the bulk-forming laxative and eat rice."
A patient returns to the ICU following surgery. The nurse notes that the patient received the anesthetic agent pipecuronium bromide before surgery. What dysrhythmia should the nurse expect to find in this patient?
A) Bradycardia B) Tachycardia C) Atrial fibrillation D) AV dissociation
The surgeon administers nasal epinephrine to a patient after nasal surgery. The nurse explains to the patient that this is done primarily to
a. anesthetize the nares. b. reduce the possibility of bleeding. c. enhance respiration d. dry up the nasal mucus.
When planning how to respond to a child about telling stories, you would base your statement on the fact that
A) imagination in a 3-year-old is at its peak. B) a 3-year-old knows the word two but not the concept 2. C) a preschooler is in an insecure period. D) preschoolers have a limited vocabulary.