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학습 자료 둘러보기 →In a client with hepatic encephalopathy, the immediate risk is physical injury from confusion, asterixis, and altered consciousness. Implementing seizure and fall precautions is the nursing priority.
While lactulose targets the underlying hyperammonemia, its therapeutic effect is not immediate. Safety measures such as keeping the bed in the lowest position, using side rails, and providing frequent reorientation must be established first to prevent trauma.
Do not delay lactulose administration; it remains a critical treatment. However, in the nursing process, ensuring a safe environment for an acutely confused patient is the immediate action before or concurrently with medication administration.
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