Question

The patient has hepatic encephalopathy. What is a priority nursing intervention to keep the patient safe?

a. Encourage increasing ambulation
b. Assist the patient to the bathroom → The patient may not be oriented or able to walk to the bathroom alone because of hyperreflexia, asterixis, or decreased motor coordination.
c. Turn the patient every 3 hours
d. Prevent constipation to reduce ammonia production

Answer 1

A priority nursing intervention to keep a patient with hepatic encephalopathy safe is to assist the patient to the bathroom.

Step-by-step explanation:

A priority nursing intervention to keep a patient with hepatic encephalopathy safe is to assist the patient to the bathroom.

Patients with hepatic encephalopathy may have hyperreflexia, asterixis, or decreased motor coordination, which can make it difficult for them to walk to the bathroom alone and potentially lead to falls or injuries.

By assisting the patient to the bathroom, nurses can ensure their safety and prevent accidents.