Liver Cirrhosis

Liver Cirrhosis ( 25 Questions)

A client with liver cirrhosis is prescribed lactulose to manage hepatic encephalopathy. What should the nurse instruct the client about taking this medication?


Correct Answer: B

A) While lactulose can be taken with meals to minimize gastrointestinal discomfort, its effectiveness is not necessarily enhanced by taking it with meals. The timing and dosage of lactulose should be based on the healthcare provider's instructions.

B) Lactulose is a medication commonly used to manage hepatic encephalopathy in clients with liver cirrhosis. It works by reducing ammonia levels in the blood by promoting the excretion of ammonia through the stool. The nurse should instruct the client to expect one to two soft bowel movements per day while on lactulose, as this indicates the medication's effectiveness in removing ammonia from the body.

C) Lactulose is not associated with fluid overload, and there is no need to limit fluid intake while taking the medication. In fact, adequate hydration is important in clients with liver cirrhosis.

D) Lactulose is not known to significantly affect blood glucose levels, and there is no specific need for the client to monitor blood glucose levels while taking this medication.




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