Which of the following interventions would you expect in the management of hepatic failure? (Select all that apply.)
a. Benzodiazepines for agitation
b. Pulse oximetry and serial arterial blood gas measurements
c. Insulin drip for hyperglycemia and hyperkalemia
d. Monitor electrolyte blood levels
e. Assess for signs of cerebral edema
B, D, E
The patient may experience a variety of other complications, including cerebral edema, cardiac dysrhythmias, acute respiratory failure, sepsis, and acute kidney injury. Cerebral edema and increased intracranial pressure develop as a result of breakdown of the blood-brain barrier and astrocyte swelling. Circulatory failure that mimics sepsis is common in acute liver failure and may exacerbate low cerebral perfusion pressure. Hypoxemia, acidosis, electrolyte imbalances, and cerebral edema can precipitate the development of cardiac dysrhythmias. Acute respiratory failure, progressing to acute respiratory distress syndrome, intrapulmonary shunting, ventilation-perfusion mismatch, sepsis, and aspiration may be attributed to the universal arterial hypoxemia.
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The nurse is teaching the parents of a child who had a surgical correction of a congenital heart defect about subacute bacterial endocarditis (SBE). Which recommendation regarding antibiotic administration prior to dental cleanings is the most appropriate
A. All children with congenital heart defects need SBE prophylaxis. B. Chronic SBE prophylaxis is recommended for most similar children. C. Risks for SBE are very high but easily prevented with antibiotics. D. The provider must weigh the risk-to-benefit ratio for SBE prophylaxis.
The nurse notes that a trauma patient has multiple tangles in the hair. Which of the following actions taken by the nurse is appropriate? (Select all that apply.)
a. Work the tangles to the ends of the hair, then trim with scissors. b. Apply warm water and conditioner. c. Apply detangler as available. d. Use a comb or fingers to work through tangles.
A 66-year-old man has presented to a nurse practitioner to get a refill for his antiplatelet medication
The client has a history of ischemic heart disease and suffered a myocardial infarction 5 years ago and has unstable angina; he uses a transdermal nitroglycerin patch to control his angina. The client has a 40 pack-year smoking history and uses nebulized bronchodilators at home for the treatment of transient shortness of breath. He has long-standing hypertension that is treated with a potassium-sparing diuretic and a ?-adrenergic-blocking medication. During the nurse's assessment, the man states that he has been unable to maintain his erection in recent months. Which of the following aspects of the man's health problems and treatments would the nurse identify as contributing to his erectile difficulty (ED)? Select all that apply. His A) antihypertensive medications. B) use of bronchodilators. C) hypertension. D) diuretic use. E) smoking history. F) age.
While being prepared for surgery, the patient tells the nurse that he didn't take the ordered antibiotics in preparation for the surgery. What initial action should the nurse take?
a. Document what the patient just said. b. Order the missed medication but in a pa-renteral form. c. Notify the patient's surgeon. d. Ask the patient why he didn't take it.