A patient with hepatic encephalopathy is at risk of injury because of confusion and poor coordination. Which nursing intervention has priority?
Correct answer: A. Place the patient in a safe environment with close observation
- A. Place the patient in a safe environment with close observation
- B. Keep the room dark and limit all communication
- C. Encourage independent walking to maintain muscle strength
- D. Offer sedative medication whenever the patient becomes restless
Explanation
Safety is the immediate priority because confusion and poor coordination increase the risk of falls and injury. Excessive isolation, unsupervised walking, and unnecessary sedatives can worsen confusion or delay recognition of deterioration.
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About Gastrointestinal and Liver Nursing
Covers nursing care for peptic ulcer disease, gastroenteritis, inflammatory bowel disease, intestinal obstruction, hepatitis, cirrhosis and portal hypertension. It includes nutrition, fluid and electrolyte management, abdominal assessment, gastrointestinal bleeding, ascites and hepatic encephalopathy, which must be distinguished from other causes of altered consciousness.
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