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NCLEX-RN (Registered Nurse) Practice Exam · Question

A client with hepatic encephalopathy is prescribed lactulose. The nurse explains to the client that the primary purpose of this medication is to:

Lactulose works by promoting the excretion of ammonia, a byproduct of protein metabolism, through the stool. High ammonia levels are a key factor in the develop

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Question: A client with hepatic encephalopathy is prescribed lactulose. The nurse explains to the client that the primary purpose of this medication is to:

Answer options:

  • Reduce portal hypertension.
  • Prevent variceal bleeding. ✅ Decrease ammonia levels in the blood.
  • Improve liver regeneration.

Correct answer: Decrease ammonia levels in the blood.

Explanation: Lactulose works by promoting the excretion of ammonia, a byproduct of protein metabolism, through the stool. High ammonia levels are a key factor in the development and worsening of hepatic encephalopathy.

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