Question

A nurse is providing teaching for a client with cirrhosis and a new prescription for lactulose. The nurse should include which of the following instructions in the teaching?

A) Notify the provider if bloating occurs.
B) Expect to have two to three soft stools per day.
C) Restrict carbohydrates in the diet.
D) Limit oral fluid intake to 1,000 mL per day of clear liquids.

Answer 1

The nurse should instruct the client taking lactulose for cirrhosis to expect two to three soft stools per day as an indicator of medication effectiveness. It is not recommended to restrict carbohydrates or limit fluid intake without consulting a healthcare provider. Bloating may occur as a side effect and the provider should be notified if it is problematic.

Step-by-step explanation:

The nurse should include the following instruction in the teaching for a client with cirrhosis and a new prescription for lactulose: Expect to have two to three soft stools per day. Lactulose is used to reduce blood ammonia levels in the treatment of cirrhosis and works by inducing bowel movements. It is important for the client to understand the expected frequency of soft stools, as this is an indicator that the medication is working effectively.

It is not advisable for the client to restrict carbohydrates in the diet or limit oral fluid intake unless advised by a healthcare provider. If bloating occurs, it may be a side effect of lactulose, as it can cause gas and bloating in some patients. The client should discuss this with the provider if it becomes problematic.