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1. Question
The serum ammonia level of a client with cirrhosis is elevated. As a priority, a nurse should plan to:
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Elevated serum ammonia levels may cause neurological changes, such as confusion. The client’s temperature or urine specific gravity will not be affected. Oral fluid intake should be encouraged if tolerated by the client.
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ANSWER: 2
Elevated serum ammonia levels may cause neurological changes, such as confusion. The client’s temperature or urine specific gravity will not be affected. Oral fluid intake should be encouraged if tolerated by the client.
Serum: The clear and thin fluid part of blood that remains after coagulation. Serum contains no blood cells, platelets, or fibrinogen.