NCLEX-RN · Question #801
A client with cirrhosis of the liver becomes comatose and is started on neomycin 300 mg q6h via nasogastric tube. The rationale for this therapy is to:
The correct answer is C. Decrease ammonia formation. (A) Neomycin is an antibiotic, but this is not the Rationale for administering it to a client in hepatic (B) Diuretics and salt-free albumin are used to promote diuresis in clients with cirrhosis of the (C) Neomycin destroys the bacteria in the intestines. It is the bacteria in…
Question
A client with cirrhosis of the liver becomes comatose and is started on neomycin 300 mg q6h via nasogastric tube. The rationale for this therapy is to:
Options
- APrevent systemic infection
- BPromote diuresis
- CDecrease ammonia formation
- DAcidify the small bowel
How the community answered
(14 responses)- A7% (1)
- C93% (13)
Explanation
(A) Neomycin is an antibiotic, but this is not the Rationale for administering it to a client in hepatic (B) Diuretics and salt-free albumin are used to promote diuresis in clients with cirrhosis of the (C) Neomycin destroys the bacteria in the intestines. It is the bacteria in the bowel that break down protein into ammonia. (D) Lactulose is administered to create an acid environment in the bowel. Ammonia leaves the blood and migrates to this acidic environment where it is trapped and excreted.
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