CRNE Exam Prep

Category - Changes in Health

Olson, an alcoholic for almost 30 years, was diagnosed with liver cirrhosis. The client is noted with jaundice, ascites, hepatomegaly, fetor hepaticus, and asterexis. Laboratory tests revealed the client’s ammonia content is significantly higher than the recommended values. Which of the following interventions specifically aims to excrete ammonia?
  1. Fluid restriction.
  2. Administration of lactulose, as ordered.
  3. Administration of diuretics, as ordered.
  4. Prepare the client for parenthesis.
Explanation
Answer: B - Administration of lactulose decreases the production of ammonia by bacteria in the bowel and facilitates excretion of ammonia. Fluid restriction and administration of diuretics are considered to control fluid accumulation. A parenthesis removes fluids from the peritoneal cavity.
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