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