Question

a client diagnosed with hepatic encephalopathy is receiving lactulose. the nurse determines that the medication is effective if which finding is observed? answer options: 1. there is an absence of blood in emesis and stool. 2. urine output increases from 250 to 400 ml per hour. 3. episodes of frequent liquid bowel movements diminish to one time per day. 4. the client who was previously oriented to person only can now state name, year, and present location. rationale, strategy, reference, tip

Explanation:

Lactulose is used to treat hepatic encephalopathy by reducing ammonia levels in the blood. Improvement in mental - status (such as increased orientation) indicates its effectiveness as hepatic encephalopathy affects brain function due to high ammonia levels. Absence of blood in stools is not related to lactulose's action for encephalopathy. Increased urine output is not the main indicator of lactulose's effectiveness for this condition. Decrease in liquid bowel movements is not the key sign of its effectiveness for hepatic encephalopathy treatment.

Answer:

1. The client who was previously oriented to person only can now state name, year, and present location