Jack is a 68-year-old white man with a history of chronic alcohol abuse. Five ye
ID: 127522 • Letter: J
Question
Jack is a 68-year-old white man with a history of chronic alcohol abuse. Five years ago, he was diagnosed with cirrhosis of the liver. His wife reports that he recently developed bronchitis accompanied by a persistent cough. He has been admitted to the emergency department with hematemesis and confusion. Currently, he is complaining of severe thirst and dizziness. His skin and sclera appear mildly jaundice. The nurse practitioner in the emergency department notes an enlarged spleen and upon rectal examination, notes the presence of hemorrhoids. Form 7 specific types of a three part nursing diagnosis, interventions with rational for each, outcomes for the diagnosis,
Explanation / Answer
Nursing diagnosis:
Based on the assessment data, the major nursing diagnosis for the patient are:
Nursing interventions:
The patient with cirrhosis needs close observation, first-class supportive care, and sound nutrition counseling.
Promoting Rest
Improving Nutritional Status
Providing Skin Care
Reducing Risk of Injury
Monitoring and Managing Complications
Discharge and Home Care Guidelines
Alcohol restriction. Of greatest importance is the exclusion of alcohol from the diet, so the patient may need referral to Alcoholics Anonymous, psychiatric care, or counseling.
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