During morning rounds, a nurse observes that a 65-year-old client with a history of alcoholic liver disease has become increasingly lethargic, is disoriented to place, and demonstrates a flapping tremor when arms are extended. To manage the underlying physiological cause of this clinical deterioration, which priority action should the nurse take?

• 1 Monitor neurological status and implement safety measures
• 2 Administer prescribed lactulose as ordered ✓ 정답
• 3 Restrict dietary protein intake
• 4 Prepare for potential paracentesis procedure

학습 참고용입니다. 실제 임상은 최신 지침과 소속 기관 프로토콜을 따르세요.