Which nursing intervention should be included in the care plan for a patient with acute liver failure with encephalopathy?
A) Have the patient lie flat in bed.
B) Perform frequent neurological checks.
C) Initiate a fluid restriction.
D) Administer lactulose.
B) Perform frequent neurological checks.
Explanation: A) In acute liver failure the head of the bed is elevated to minimize the risk of aspiration in the setting of altered mental status.
B) In acute liver failure, frequent neurologic checks are necessary to monitor for additional changes in mental status.
C) In acute liver failure, dehydration is common, and volume resuscitation is initiated.
D) The use of lactulose for treatment of hepatic encephalopathy in acute liver failure has not been shown to be effective and may negatively impact surgical interventions related to possible colonic distention.
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