When loperamide is recommended, the nurse should instruct the ...

[lb_gilbert]

When loperamide is recommended, the nurse should instruct the patient that:
 
  1. this agent has a high potential for abuse.
  2. the drug may produce extreme dizziness.
  3. the drug may be purchased over the counter as a tablet, capsule, or liquid.
  4. this drug will stimulate the bowel and may cause flatulence.

Question 2

A patient with a history of chronic alcohol abuse has been admitted to the unit with cirrhosis. Upon review of the patient's laboratory test results, the nurse notes that the ammonia level is 218.
 
  What medication should the nurse prepare to administer?
  a. 0.9 NS
  b. Lactulose
  c. Docusate sodium (Colace)
  d. Polyethylene glycol (MiraLax)

[whitcassie]

Answer to Question 1

Correct Answer: 3

Answer to Question 2

ANS: B
Lactulose is the only laxative known to lower ammonia levels in patient with portal hypertension and hepatic encephalopathy secondary to liver disease.
No information suggests that the patient needs fluid or electrolyte replacement.
Docusate sodium and polyethylene glycol are not effective at lowering ammonia levels.

[lb_gilbert]

Excellent

[ebonylittles]

TYSM