In caring for a client admitted to the hospital for treatment of cirrhosis, the nurse would know that priority interventions revolve around the client's
A) hypoglycemia related to pancreatitis.
B) infection related to neutropenia.
C) nerve impairment related to encephalopathy.
D) risk for hemorrhage related to bleeding tendencies.

Question

Quizplus · Accepted Answer

Because of the increased risk of bleeding in the client with cirrhosis, the nursing diagnosis Ineffective Tissue Perfusion related to bleeding tendencies and varices that may hemorrhage is common and so takes priority in this situation. If the pancreas were involved, the client would probably manifest hyperglycemia because of loss of endocrine function. Encephalopathy is a possible consequence of cirrhosis but may or may not be present. Infection is another possible complication.

In Caring for a Client Admitted to the Hospital for Treatment