Difficulty: Medium
Average Score: 79%
Simulated
The nurse is caring for the client with hepatic encephalopathy who is receiving lactulose. Which finding should the nurse expect after the administration of this medication?
Correct answer
B
Rationale
A. The clientÔÇÖs temperature will not be affected. B. Elevated serum ammonia levels may cause neurological changes, such as confusion. C. The clientÔÇÖs urine specific gravity will not be affected. D. Oral fluid intake should be encouraged if tolerated by the client.