Hepatic encephalopathy

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1. Our nurse is planning care for a client who has hepatic encephalopathy. Which interventions is at the highest level?

a. Restricts the client's intake of fluids

b. Administer vitamin K

c. Reduce the client's intake of protein

d. Administer diuretics

2. Which of these is properly formatted "actual" of problem-focus nursing diagnosis?

a. Impaired skin integrity related to immobility as evidenced by dime-size area of the non-blanch spot.

b. Impaired skin integrity is related to immobility as evidenced by being to turn

c. Pressure ulcer related to cervical collar rubbing on the neck.

d. Pressure ulcer related to reddened area with skin breakdown as evidence by immobility

Reference no: EM133248788

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