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Question :-

The physician of a client diagnosed with alcoholism orders neomycin 0.5 g q6h to prevent hepatic coma. Neomycin decreases serum ammonia levels by:
Decreasing nitrogen-forming bacteria in the intestines
Acidifying colon contents by causing ammonia retention in the colon
Decreasing the uptake of vitamin D, thereby drawing more water into the colon
Irritating the bowel and promoting evacuation of stool

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