The client with liver dysfunction has low serum levels of fibrinogen and a prolonged prothrombin time (PT). Based on these findings, which of the following actions are planned to promote client safety? Select all that apply

Question

1. Monitor potassium levels.
2. Monitor for symptoms of fluid retention.
3. Provide the client with a soft toothbrush.
4. Instruct the client to use an electric razor.
5. Weigh client daily, and monitor trends.
6. Monitor all secretions for frank or occult blood.

Answer 1

3, 4, 6

Rationale: Fibrinogen is produced by the liver and is necessary for normal clotting. The client who has insufficient levels is at risk for bleeding. The prothrombin time is prolonged when one or more of the clotting factors (II, V, VII, or X) is deficient, so the client's risk for bleeding is also increased. "Provide the client with a soft toothbrush," "instruct the client to use an electric razor," and "monitor all secretions for frank or occult blood" are measures that provide for client safety and monitor for bleeding.