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 patient's ammonia level is elevated at 218 mcg/dL. What medication should the nurse prepare to administer?
A) 0.9% NS
B) Docusate sodium [Colace]
C) Lactulose
D) Polyethylene glycol [MiraLax]

Question

Quizplus · Accepted Answer

Lactulose is the only laxative known to lower ammonia levels in patients 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.

A Patient with a History of Chronic Alcohol Abuse Has