ABDOMINAL
CHRONIC LIVER DISEASE
Question
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What is the priority nursing intervention in the management of a client with decompensated cirrhosis?
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Limiting protein intake
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Managing nausea and vomiting
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Monitoring fluid intake and output
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Elevating the head of bed >30 degrees Decompensated Cirrhosis-oblivious signs of liver failure (Portal HTN, Ascites, Biliary Obstruction, Hepatic Encephalopathy) Decompensated cirrhosis has multiple complications, of which bleeding esophageal varices is one. This condition can present a life-threatening emergency. Preventing nausea and vomiting is an important intervention in the management of esophageal varices. Monitoring protein, fluid balance, and client positioning are also important interventions in the care of the client with end-stage liver disease.
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Explanation:
Detailed explanation-1: -Nurses to monitor body weight, abdominal girth, prevent deep vein thrombosis, encourage ambulation and educate the patient and family about the importance of a low sodium diet. Internist to monitor coagulation parameters and general health of the patient.
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