The nurse is caring for a client who presents with increased ammonia levels, elevated BUN, and altered mental status. Which medication would the nurse anticipate the health care provider ordering for this client?
Rationale: Lactulose is a laxative given to lower ammonia levels in clients with hepatic encephalopathy. Elevated BUN indicates a dysfunction in the body’s ability to convert protein to nitrogen; this coupled with elevated ammonia levels would present as confusion. Sucralfate is an anti-ulcer medication used in the management of GI ulcers. Lamotrigine is an antiepileptic medication used to control seizures. Gabapentin is an anticonvulsant and mood stabilizer.