{"id":935,"date":"2021-04-14T12:10:00","date_gmt":"2021-04-14T12:10:00","guid":{"rendered":"https:\/\/www.osmosis.org\/blog\/?p=935"},"modified":"2026-03-20T13:52:28","modified_gmt":"2026-03-20T21:52:28","slug":"nclex-question-of-the-day-lactulose-for-chronic-hepatitis","status":"publish","type":"post","link":"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-lactulose-for-chronic-hepatitis","title":{"rendered":"NCLEX-RN\u00ae Question of the Day: Lactulose for chronic hepatitis"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_80 ez-toc-wrap-center counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">In This Article<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-lactulose-for-chronic-hepatitis\/#A_Decreased_serum_bilirubin\" >A. Decreased serum bilirubin<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-lactulose-for-chronic-hepatitis\/#B_Decreased_serum_alanine_aminotransferase_ALT\" >B. Decreased serum alanine aminotransferase (ALT)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-lactulose-for-chronic-hepatitis\/#C_Increased_serum_albumin\" >C. Increased serum albumin<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-lactulose-for-chronic-hepatitis\/#DDecreased_serum_ammonia\" >D.Decreased serum ammonia<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-lactulose-for-chronic-hepatitis\/#The_correct_answer_to_todays_NCLEX-RN%C2%AE_Question_is%E2%80%A6\" >The correct answer to today&#8217;s NCLEX-RN\u00ae Question is&#8230;<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-lactulose-for-chronic-hepatitis\/#DDecreased_serum_ammonia-2\" >D.Decreased serum ammonia<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-lactulose-for-chronic-hepatitis\/#Major_Takeaway\" >Major Takeaway<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-lactulose-for-chronic-hepatitis\/#Incorrect_answer_explanations\" >Incorrect answer explanations<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-lactulose-for-chronic-hepatitis\/#A_Decreased_serum_bilirubin-2\" >A. Decreased serum bilirubin<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-lactulose-for-chronic-hepatitis\/#B_Decreased_serum_alanine_aminotransferase_ALT-2\" >B. Decreased serum alanine aminotransferase (ALT)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-lactulose-for-chronic-hepatitis\/#C_Increased_serum_albumin-2\" >C. Increased serum albumin<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-lactulose-for-chronic-hepatitis\/#Reference\" >Reference<\/a><\/li><\/ul><\/nav><\/div>\n\n<p class=\"wp-block-paragraph\"><strong><em>Today&#8217;s NCLEX-RN\u00ae question of the day focuses on a patient diagnosed with chronic hepatitis. What lab results best indicate that the treatment\u2014the medication, lactulose\u2014 is working?<\/em><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The nurse is caring for a client diagnosed with chronic&nbsp;<a href=\"https:\/\/www.osmosis.org\/learn\/Hepatitis\" target=\"_blank\" rel=\"noreferrer noopener\">hepatitis<\/a>&nbsp;who is receiving the medication lactulose. Which of these laboratory results would indicate the medication is achieving the desired therapeutic effect?<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"A_Decreased_serum_bilirubin\"><\/span>A. Decreased serum bilirubin<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"B_Decreased_serum_alanine_aminotransferase_ALT\"><\/span>B. Decreased serum alanine aminotransferase (ALT)<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"C_Increased_serum_albumin\"><\/span>C. Increased serum albumin<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"DDecreased_serum_ammonia\"><\/span><strong>D.<\/strong><strong>Decreased serum ammonia<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Scroll down for the correct answer!<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-rich is-provider-embed-handler wp-block-embed-embed-handler wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Nurses Learn by Osmosis.org\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/kGJCkPfFypA?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.osmosis.org\/plans\" target=\"_blank\" rel=\"noreferrer noopener\"><u><em><strong>\u2192 Reinforce your understanding with more self-assessment items on Osmosis.<\/strong>&nbsp;<\/em><\/u><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_correct_answer_to_todays_NCLEX-RN%C2%AE_Question_is%E2%80%A6\"><\/span>The correct answer to today&#8217;s NCLEX-RN\u00ae Question is&#8230;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"DDecreased_serum_ammonia-2\"><\/span><strong>D.<\/strong><strong>Decreased serum ammonia<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:&nbsp;<\/strong>Normally, the liver converts ammonia, which is a by-product of amino acid metabolism, into urea for excretion. So when liver function is impaired, serum ammonia levels rise. To lower ammonia levels, lactulose, which is a synthetic disaccharide, can be administered. As lactulose is degraded by gut bacteria, the pH of the colonic contents decreases. This causes ammonia to be drawn into the colon where it can be and eliminated in the feces, thereby lowering the serum ammonia level.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Major_Takeaway\"><\/span><strong>Major Takeaway<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.osmosis.org\/learn\/Laxatives_and_cathartics\" target=\"_blank\" rel=\"noreferrer noopener\">Lactulose<\/a>&nbsp;works in the colon to lower ammonia levels.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Incorrect_answer_explanations\"><\/span>Incorrect answer explanations<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"A_Decreased_serum_bilirubin-2\"><\/span>A. Decreased serum bilirubin<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale<\/strong>: Although the liver plays an important role in bilirubin metabolism and serum bilirubin is increased in clients diagnosed with chronic hepatitis, lactulose is not given to lower serum bilirubin levels.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"B_Decreased_serum_alanine_aminotransferase_ALT-2\"><\/span>B. Decreased serum alanine aminotransferase (ALT)<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale<\/strong>: Alanine aminotransferase (ALT) is a hepatic enzyme which tends to increase in clients diagnosed with chronic hepatitis, but lactulose is not given for this purpose.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"C_Increased_serum_albumin-2\"><\/span>C. Increased serum albumin<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale<\/strong>: Because the liver synthesizes albumin liver malfunction can cause albumin levels tend to drop; however, lactulose does not affect albumin levels.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Reference\"><\/span>Reference<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">&nbsp;Burchum, J. R., &amp; Rosenthal, L. D. (2019).<em>&nbsp;Lehne\u2019s pharmacology for nursing care<\/em>&nbsp;(10th ed.). Elsevier.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><strong><em>_________________________<\/em><\/strong><\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><strong><em>Want more NCLEX\u00ae-style practice questions? Try Osmosis today! Access your&nbsp;<a href=\"https:\/\/www.osmosis.org\/login?type=create\" target=\"_blank\" rel=\"noreferrer noopener\">free trial<\/a>&nbsp;and find out why millions of current and future clinicians and caregivers love learning with us.<\/em><\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.osmosis.org\/plans\" target=\"_blank\" rel=\"noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"250\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/08\/31.png?w=700\" alt=\"Osmosis sign up ad\" class=\"wp-image-411\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/08\/31.png 700w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/08\/31.png?resize=300,107 300w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/><\/a><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">NCLEX-RN\u00ae and NCLEX-PN\u00ae are registered trademarks of the National Council of State Boards of Nursing, Inc (NCSBN\u00ae). Osmosis is not affiliated with NCSBN.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Today&#8217;s NCLEX-RN\u00ae question of the day focuses on a patient diagnosed with chronic hepatitis. What lab results best indicate that the treatment\u2014the medication, lactulose\u2014 is working? The nurse is caring for a client diagnosed with chronic&nbsp;hepatitis&nbsp;who is receiving the medication lactulose. Which of these laboratory results would indicate the medication is achieving the desired therapeutic [&hellip;]<\/p>\n","protected":false},"author":279,"featured_media":936,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[20,29,1367,32],"tags":[],"class_list":["post-935","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-exam-prep","category-nclex","category-nclex-rn","category-nursing"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>NCLEX-RN\u00ae Question of the Day: Lactulose for chronic hepatitis - Osmosis Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-lactulose-for-chronic-hepatitis\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"NCLEX-RN\u00ae Question of the Day: Lactulose for chronic hepatitis - Osmosis Blog\" \/>\n<meta property=\"og:description\" content=\"Today&#8217;s NCLEX-RN\u00ae question of the day focuses on a patient diagnosed with chronic hepatitis. What lab results best indicate that the treatment\u2014the medication, lactulose\u2014 is working? The nurse is caring for a client diagnosed with chronic&nbsp;hepatitis&nbsp;who is receiving the medication lactulose. Which of these laboratory results would indicate the medication is achieving the desired therapeutic [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-lactulose-for-chronic-hepatitis\" \/>\n<meta property=\"og:site_name\" content=\"Osmosis Blog\" \/>\n<meta property=\"article:published_time\" content=\"2021-04-14T12:10:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-03-20T21:52:28+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/nclex-chronic-hepatitis.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"1080\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"author\" content=\"Paige Randall, PhD, MS, RN, CNE &amp; Elizabeth Lucas, EdD, RN, CNE\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":[\"Article\",\"BlogPosting\"],\"@id\":\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-lactulose-for-chronic-hepatitis#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-lactulose-for-chronic-hepatitis\"},\"author\":{\"name\":\"Paige Randall, PhD, MS, RN, CNE &amp; Elizabeth Lucas, EdD, RN, CNE\",\"@id\":\"https:\/\/www.osmosis.org\/blog\/#\/schema\/person\/131a18b6ecda9e9a8aac2894efb9d158\"},\"headline\":\"NCLEX-RN\u00ae Question of the Day: Lactulose for chronic hepatitis\",\"datePublished\":\"2021-04-14T12:10:00+00:00\",\"dateModified\":\"2026-03-20T21:52:28+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-lactulose-for-chronic-hepatitis\"},\"wordCount\":386,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/#organization\"},\"image\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-lactulose-for-chronic-hepatitis#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/nclex-chronic-hepatitis.webp\",\"articleSection\":[\"Exam Prep\",\"NCLEX\",\"NCLEX-RN\",\"Registered Nursing (RN)\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-lactulose-for-chronic-hepatitis#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-lactulose-for-chronic-hepatitis\",\"url\":\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-lactulose-for-chronic-hepatitis\",\"name\":\"NCLEX-RN\u00ae Question of the Day: Lactulose for chronic hepatitis - Osmosis Blog\",\"isPartOf\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-lactulose-for-chronic-hepatitis#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-lactulose-for-chronic-hepatitis#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/nclex-chronic-hepatitis.webp\",\"datePublished\":\"2021-04-14T12:10:00+00:00\",\"dateModified\":\"2026-03-20T21:52:28+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-lactulose-for-chronic-hepatitis#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-lactulose-for-chronic-hepatitis\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-lactulose-for-chronic-hepatitis#primaryimage\",\"url\":\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/nclex-chronic-hepatitis.webp\",\"contentUrl\":\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/nclex-chronic-hepatitis.webp\",\"width\":1080,\"height\":1080},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-lactulose-for-chronic-hepatitis#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.osmosis.org\/blog\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"NCLEX-RN\u00ae Question of the Day: Lactulose for chronic hepatitis\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.osmosis.org\/blog\/#website\",\"url\":\"https:\/\/www.osmosis.org\/blog\/\",\"name\":\"Osmosis Blog\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.osmosis.org\/blog\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/www.osmosis.org\/blog\/#organization\",\"name\":\"Osmosis Blog\",\"url\":\"https:\/\/www.osmosis.org\/blog\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.osmosis.org\/blog\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/07\/OsmosisElsevierStacked.png\",\"contentUrl\":\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/07\/OsmosisElsevierStacked.png\",\"width\":1276,\"height\":596,\"caption\":\"Osmosis Blog\"},\"image\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/#\/schema\/logo\/image\/\"}},{\"@type\":\"Person\",\"@id\":\"https:\/\/www.osmosis.org\/blog\/#\/schema\/person\/131a18b6ecda9e9a8aac2894efb9d158\",\"name\":\"Paige Randall, PhD, MS, RN, CNE &amp; Elizabeth Lucas, EdD, RN, CNE\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.osmosis.org\/blog\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/d6c2ca8e1c8eafcaf906ff92af24958d629f6c8203487bb2f1a5aebceb746a9e?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/d6c2ca8e1c8eafcaf906ff92af24958d629f6c8203487bb2f1a5aebceb746a9e?s=96&d=mm&r=g\",\"caption\":\"Paige Randall, PhD, MS, RN, CNE &amp; Elizabeth Lucas, EdD, RN, CNE\"},\"description\":\"Author\/Reviewer Paige Randall, PhD, MS, RN, CEN, CNE, has been a Registered Nurse for more than a decade and has a clinical background in cardiac, emergency nursing, and nursing education Elizabeth Lucas, EdD, RN, CNE, has been a Registered Nurse since 2008 with a clinical background in oncology working in a Medical Oncology Unit, a Critical Care Bone Marrow Transplant Unit, and a Hematology\/Oncology Clinic.\",\"url\":\"https:\/\/www.osmosis.org\/blog\/author\/paigeandlizqotd\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"NCLEX-RN\u00ae Question of the Day: Lactulose for chronic hepatitis - Osmosis Blog","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-lactulose-for-chronic-hepatitis","og_locale":"en_US","og_type":"article","og_title":"NCLEX-RN\u00ae Question of the Day: Lactulose for chronic hepatitis - Osmosis Blog","og_description":"Today&#8217;s NCLEX-RN\u00ae question of the day focuses on a patient diagnosed with chronic hepatitis. What lab results best indicate that the treatment\u2014the medication, lactulose\u2014 is working? The nurse is caring for a client diagnosed with chronic&nbsp;hepatitis&nbsp;who is receiving the medication lactulose. Which of these laboratory results would indicate the medication is achieving the desired therapeutic [&hellip;]","og_url":"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-lactulose-for-chronic-hepatitis","og_site_name":"Osmosis Blog","article_published_time":"2021-04-14T12:10:00+00:00","article_modified_time":"2026-03-20T21:52:28+00:00","og_image":[{"width":1080,"height":1080,"url":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/nclex-chronic-hepatitis.webp","type":"image\/webp"}],"author":"Paige Randall, PhD, MS, RN, CNE &amp; Elizabeth Lucas, EdD, RN, CNE","twitter_card":"summary_large_image","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":["Article","BlogPosting"],"@id":"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-lactulose-for-chronic-hepatitis#article","isPartOf":{"@id":"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-lactulose-for-chronic-hepatitis"},"author":{"name":"Paige Randall, PhD, MS, RN, CNE &amp; Elizabeth Lucas, EdD, RN, CNE","@id":"https:\/\/www.osmosis.org\/blog\/#\/schema\/person\/131a18b6ecda9e9a8aac2894efb9d158"},"headline":"NCLEX-RN\u00ae Question of the Day: Lactulose for chronic hepatitis","datePublished":"2021-04-14T12:10:00+00:00","dateModified":"2026-03-20T21:52:28+00:00","mainEntityOfPage":{"@id":"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-lactulose-for-chronic-hepatitis"},"wordCount":386,"commentCount":0,"publisher":{"@id":"https:\/\/www.osmosis.org\/blog\/#organization"},"image":{"@id":"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-lactulose-for-chronic-hepatitis#primaryimage"},"thumbnailUrl":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/nclex-chronic-hepatitis.webp","articleSection":["Exam Prep","NCLEX","NCLEX-RN","Registered Nursing (RN)"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-lactulose-for-chronic-hepatitis#respond"]}]},{"@type":"WebPage","@id":"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-lactulose-for-chronic-hepatitis","url":"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-lactulose-for-chronic-hepatitis","name":"NCLEX-RN\u00ae Question of the Day: Lactulose for chronic hepatitis - Osmosis Blog","isPartOf":{"@id":"https:\/\/www.osmosis.org\/blog\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-lactulose-for-chronic-hepatitis#primaryimage"},"image":{"@id":"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-lactulose-for-chronic-hepatitis#primaryimage"},"thumbnailUrl":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/nclex-chronic-hepatitis.webp","datePublished":"2021-04-14T12:10:00+00:00","dateModified":"2026-03-20T21:52:28+00:00","breadcrumb":{"@id":"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-lactulose-for-chronic-hepatitis#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-lactulose-for-chronic-hepatitis"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-lactulose-for-chronic-hepatitis#primaryimage","url":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/nclex-chronic-hepatitis.webp","contentUrl":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/nclex-chronic-hepatitis.webp","width":1080,"height":1080},{"@type":"BreadcrumbList","@id":"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-lactulose-for-chronic-hepatitis#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.osmosis.org\/blog"},{"@type":"ListItem","position":2,"name":"NCLEX-RN\u00ae Question of the Day: Lactulose for chronic hepatitis"}]},{"@type":"WebSite","@id":"https:\/\/www.osmosis.org\/blog\/#website","url":"https:\/\/www.osmosis.org\/blog\/","name":"Osmosis Blog","description":"","publisher":{"@id":"https:\/\/www.osmosis.org\/blog\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.osmosis.org\/blog\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/www.osmosis.org\/blog\/#organization","name":"Osmosis Blog","url":"https:\/\/www.osmosis.org\/blog\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.osmosis.org\/blog\/#\/schema\/logo\/image\/","url":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/07\/OsmosisElsevierStacked.png","contentUrl":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/07\/OsmosisElsevierStacked.png","width":1276,"height":596,"caption":"Osmosis Blog"},"image":{"@id":"https:\/\/www.osmosis.org\/blog\/#\/schema\/logo\/image\/"}},{"@type":"Person","@id":"https:\/\/www.osmosis.org\/blog\/#\/schema\/person\/131a18b6ecda9e9a8aac2894efb9d158","name":"Paige Randall, PhD, MS, RN, CNE &amp; Elizabeth Lucas, EdD, RN, CNE","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.osmosis.org\/blog\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/d6c2ca8e1c8eafcaf906ff92af24958d629f6c8203487bb2f1a5aebceb746a9e?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/d6c2ca8e1c8eafcaf906ff92af24958d629f6c8203487bb2f1a5aebceb746a9e?s=96&d=mm&r=g","caption":"Paige Randall, PhD, MS, RN, CNE &amp; Elizabeth Lucas, EdD, RN, CNE"},"description":"Author\/Reviewer Paige Randall, PhD, MS, RN, CEN, CNE, has been a Registered Nurse for more than a decade and has a clinical background in cardiac, emergency nursing, and nursing education Elizabeth Lucas, EdD, RN, CNE, has been a Registered Nurse since 2008 with a clinical background in oncology working in a Medical Oncology Unit, a Critical Care Bone Marrow Transplant Unit, and a Hematology\/Oncology Clinic.","url":"https:\/\/www.osmosis.org\/blog\/author\/paigeandlizqotd"}]}},"jetpack_featured_media_url":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/nclex-chronic-hepatitis.webp","jetpack-related-posts":[{"id":4125,"url":"https:\/\/www.osmosis.org\/blog\/nclex-qotd-mar-hcv","url_meta":{"origin":935,"position":0},"title":"NCLEX-RN\u00ae Question of the Day: MAR HCV","author":"Paige Randall, PhD, MS, RN, CNE &amp; Elizabeth Lucas, EdD, RN, CNE","date":"July 24, 2024","format":false,"excerpt":"Discover the correct medication for treating chronic hepatitis C virus (HCV) infection in this NCLEX Question of the Day. Test your nursing knowledge now! The nurse reviews the medication administration record (MAR) of a client diagnosed with chronic hepatitis C virus (HCV) infection. Which medication should be present in the\u2026","rel":"","context":"In &quot;Exam Prep&quot;","block_context":{"text":"Exam Prep","link":"https:\/\/www.osmosis.org\/blog\/category\/exam-prep"},"img":{"alt_text":"","src":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/NCLEX-mar-hcv.webp","width":350,"height":200,"srcset":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/NCLEX-mar-hcv.webp 1x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/NCLEX-mar-hcv.webp 1.5x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/NCLEX-mar-hcv.webp 2x"},"classes":[]},{"id":1330,"url":"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-chronic-hypothyroidism","url_meta":{"origin":935,"position":1},"title":"NCLEX-RN\u00ae Question of the Day: Chronic hypothyroidism","author":"Paige Randall, PhD, MS, RN, CNE &amp; Elizabeth Lucas, EdD, RN, CNE","date":"August 31, 2022","format":false,"excerpt":"Which nursing intervention should be performed first for a client with myxedema coma to ensure airway safety and support breathing?","rel":"","context":"In &quot;Exam Prep&quot;","block_context":{"text":"Exam Prep","link":"https:\/\/www.osmosis.org\/blog\/category\/exam-prep"},"img":{"alt_text":"NCLEX-RN\u00ae Question of the Day: Chronic hypothyroidism","src":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/nclex-chronic-hypothyroidism.webp","width":350,"height":200,"srcset":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/nclex-chronic-hypothyroidism.webp 1x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/nclex-chronic-hypothyroidism.webp 1.5x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/nclex-chronic-hypothyroidism.webp 2x"},"classes":[]},{"id":813,"url":"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-acute-kidney-injury-aki","url_meta":{"origin":935,"position":2},"title":"NCLEX-RN\u00ae Question of the Day: Acute kidney injury (AKI)","author":"Paige Randall, PhD, MS, RN, CNE &amp; Elizabeth Lucas, EdD, RN, CNE","date":"October 20, 2021","format":false,"excerpt":"This NCLEX-RN question discusses how to treat hyperkalemia in acute kidney injury by promoting potassium movement into cells and preventing arrhythmias. Do you know the answer?","rel":"","context":"In &quot;Exam Prep&quot;","block_context":{"text":"Exam Prep","link":"https:\/\/www.osmosis.org\/blog\/category\/exam-prep"},"img":{"alt_text":"NCLEX Question of the Day Acute Kidney Injury (AKI)","src":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/acute-kidney-injury.webp","width":350,"height":200,"srcset":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/acute-kidney-injury.webp 1x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/acute-kidney-injury.webp 1.5x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/acute-kidney-injury.webp 2x"},"classes":[]},{"id":4152,"url":"https:\/\/www.osmosis.org\/blog\/nclex-qotd-health-literacy","url_meta":{"origin":935,"position":3},"title":"NCLEX-RN\u00ae Question of the Day: Health literacy","author":"Paige Randall, PhD, MS, RN, CNE &amp; Elizabeth Lucas, EdD, RN, CNE","date":"August 7, 2024","format":false,"excerpt":"Understanding health literacy is key for nurses when educating clients about managing chronic conditions like hypertension. This NCLEX Question of the Day explores how to identify signs of low health literacy during a client\u2019s care and education. The nurse educator is assigned to meet with a client who has been\u2026","rel":"","context":"In &quot;Exam Prep&quot;","block_context":{"text":"Exam Prep","link":"https:\/\/www.osmosis.org\/blog\/category\/exam-prep"},"img":{"alt_text":"","src":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/nclex-health-literacy.webp","width":350,"height":200,"srcset":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/nclex-health-literacy.webp 1x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/nclex-health-literacy.webp 1.5x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/nclex-health-literacy.webp 2x"},"classes":[]},{"id":3042,"url":"https:\/\/www.osmosis.org\/blog\/pance-question-of-the-day-hepatitis-c","url_meta":{"origin":935,"position":4},"title":"PANCE\u00ae Question of the Day: Hepatitis C","author":"Rowan Bell, MD &amp; Marina Horiates Kerekes, MD","date":"October 4, 2023","format":false,"excerpt":"This week, we are sharing another PANCE\u00ae-style practice question to test your knowledge of medical topics.\u00a0Today's case focuses on a 49-year-old man with cirrhosis and vomiting blood. Explore his symptoms, physical examination findings, and lab results to determine the most appropriate treatment. Learn more about this critical medical scenario. A\u2026","rel":"","context":"In &quot;Exam Prep&quot;","block_context":{"text":"Exam Prep","link":"https:\/\/www.osmosis.org\/blog\/category\/exam-prep"},"img":{"alt_text":"","src":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/pance-hepatitis-c.webp","width":350,"height":200,"srcset":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/pance-hepatitis-c.webp 1x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/pance-hepatitis-c.webp 1.5x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/pance-hepatitis-c.webp 2x"},"classes":[]},{"id":1469,"url":"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-age-related-physiological-changes","url_meta":{"origin":935,"position":5},"title":"NCLEX-RN\u00ae Question of the Day: Age-related physiological changes","author":"Paige Randall, PhD, MS, RN, CNE &amp; Elizabeth Lucas, EdD, RN, CNE","date":"February 2, 2022","format":false,"excerpt":"Explore an NCLEX\u00ae question on how aging impacts drug response, focusing on decreased GFR and risks of medication toxicity in elderly patients.","rel":"","context":"In &quot;Exam Prep&quot;","block_context":{"text":"Exam Prep","link":"https:\/\/www.osmosis.org\/blog\/category\/exam-prep"},"img":{"alt_text":"NCLEX Question of the Day Age Related Physiological Changes","src":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/51.webp","width":350,"height":200,"srcset":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/51.webp 1x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/51.webp 1.5x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/51.webp 2x"},"classes":[]}],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/posts\/935","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/users\/279"}],"replies":[{"embeddable":true,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/comments?post=935"}],"version-history":[{"count":4,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/posts\/935\/revisions"}],"predecessor-version":[{"id":7139,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/posts\/935\/revisions\/7139"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/media\/936"}],"wp:attachment":[{"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/media?parent=935"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/categories?post=935"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/tags?post=935"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}