The priority medication for a client who has developed hepatic encephalopathy is:
1. Lactulose (Chronulac).
2. Vitamin K (Mephyton).
3. Diazepam (Valium).
4. Norfloxacin (Noroxin).
Lactulose (Chronulac).
Rationale: The client who has developed hepatic encephalopathy will be given lactulose to help the client excrete excess ammonia levels from the blood into the colon. Vitamin K and norfloxacin may be given to clients with esophageal varices. The diazepam is not indicated for a client with hepatic encephalopathy, but rather oxazepam will likely be given to control agitation because it is not metabolized in the liver.
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