A high ammonia level contributes to hepatic encephalopathy.Which nursing implementation needs to be added to the nursing care plan as this level continues to increase?

Question

Quizplus · Accepted Answer

As the ammonia level increases, the risk for hepatic encephalopathy also increases. Neurologic checks, including mental status assessments and evaluation for signs of confusion or delirium, should be done more frequently to monitor for this potential complication. Mouth care and intake and output monitoring are important aspects of overall patient care but may not be directly related to hepatic encephalopathy. Oxygen saturation monitoring may be important in certain cases but is not necessarily specific to this particular issue.

A High Ammonia Level Contributes to Hepatic Encephalopathy