Assessment
Planning
Implementation
Diagnosis
Evaluation
100
An increase in serum enzymes AST, ALT, and LDH.
What is hepatic cell destruction?
100
Drug used to reduce fluid accumulation and to prevent cardiac and respiratory problems.
What is a Diuretic?
100
A type of diet is recommended for the client initially in an attempt to decrease the accumulation in the abdominal cavity?
What is 1-2gram sodium diet?
100
Diagnosis related to respiration of the client with cirrhosis.
What is Ineffective bleeding pattern r/t decrease in diaphragmatic excursion and pressure on the diaphragm from ascites.
100
Serum electrolytes are within _______ range.
What is accepted/normal?
200
The most indicative lab results of cirrhosis.
What is Thrombocytopenia?
200
Prevention of portal systemic encephalopathy.
What is monitoring serum ammonia levels?
200
The nurse is monitoring the client undergoing a paracentesis. Changes in the client's status the nurse should immediately report to the Physician.
What are decrease in BP and HR?
200
Nursing Diagnosis related to Volume in the body.
What is the Potential for injury r/t risk of hemorrhage?
200
BP should be ______ .
What is Stable?
300
The nurse is caring for a client who experienced liver trauma. Which assessment findings are most indicative of hemorrhage and hypovolemic shock?
What are confusion, diaphoresis, hypotension, tachycardia, and tachypnea.
300
Indicators of water balance in the intra and extra-cellular compartments of the body.
What is normal BP, normal peripheral pressure, normal serum electrolytes, and normal hematocrit?
300
Intervention to teach family members when client demonstrates the 1st sign of encephalopathy.
What is an increase in dosage of lactulose?
300
The client has been dx w/ cancer of the liver. Which initial tx options does the nurse expect to be ordered for the client?
What is a radiofrequency ablation?
300
RBC's should be ______ than 4.5 million/mm.
What is greater?
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