A nurse is administering lactulose to a patient with chronic liver disease. The patient states, “That stuff gives me diarrhea. I don’t want it.” Which response by the nurse is best?
a. “This keeps your ammonia level under control, so it is important to your care. How many stools have you had today?”
b. “Diarrhea can cause dehydration—I’ll hold the medication.”
c. “I am placing you in charge of your own care, so I will hold this medication at your request.”
d. “The diarrhea should stop after a few doses; it is important to keep taking the medication.”
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