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The serum ammonia level of a client with cirrhosis is elevated as a priority the nurse should

1 Jahrs vor
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Bleeding esophageal varices are the most life-threatening complication
of cirrhosis. Coughing can precipitate a bleeding episode. The client with a pain rating of 6 out of 10 on a numeric scale and the client reporting
itching also need attention, but the pain and itching are not life-threatening
concerns. The client who is postcholecystectomy is reported as being
stable and could be assessed last.

➧ Test-taking Tip: Use the prioritization criteria: life-threatening
concerns must be addressed first; client safety concerns
second; and concerns essential to the plan of care third. Use
the ABCs (airway, breathing, circulation) to determine priority.
Determine if any of the clients are in a life-threatening situation,
and select that option.

What is the priority in a patient with liver cirrhosis?

Nursing management for the patient with cirrhosis of the liver should focus on promoting rest, improving nutritional status, providing skin care, reducing risk of injury, and monitoring and managing complications.

Why do cirrhosis patients have high ammonia levels?

Elevated plasma ammonia level in hepatic cirrhosis has been attributed to a lack of conversion of enteric ammonia into urea or to its entry into systemic circulation via portasystemic shunting, or to both. It is exaggerated by excessive protein intake.

How does cirrhosis affect ammonia levels?

Results: Blood ammonia correlated positively with breath ammonia in patients with cirrhosis. Breath ammonia levels were significantly higher in cirrhotic patients (0.745 ppm) than in controls (0.278 ppm), and higher in cirrhotic patients with hyperammonemia (0.997 ppm) than in those without (0.558 ppm).

Are ammonia levels high with cirrhosis?

If your results show high ammonia levels in the blood, it may be a sign of one of the following conditions: Liver diseases, such as cirrhosis or hepatitis. Hepatic encephalopathy. Kidney disease or kidney failure.

serum ammonia level client cirrhosis elevated priority nurse

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