Exam 2 — Intestinal, Perioperative & Liver Health Restoration I
Studying: Health Restoration HR1 · Study full exam
medium Health Restoration HR1 Select All That Apply
A patient returns from a right hepatic lobectomy for hepatocellular carcinoma. Which nursing assessments and interventions are PRIORITIES in the immediate postoperative period? SELECT ALL THAT APPLY.
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Ensure the patient avoids all protein in the diet for the first week to prevent ammonia accumulation Assess mental status and orientation at regular intervals as the remaining liver may not initially handle ammonia adequately Administer high-dose acetaminophen for pain management as it is the safest analgesic after liver surgery Assess for bile leak by monitoring drain fluid color and bilirubin content Monitor hemoglobin and hematocrit trends, checking abdominal drains for excessive bloody output Monitor blood glucose levels frequently as the liver is the primary site of gluconeogenesis and glycogen storage Assess for signs of liver failure: progressive jaundice, worsening coagulopathy, encephalopathy, and oliguria Monitor coagulation studies (PT/INR) as reduced hepatic mass impacts clotting factor synthesis Submit answer Adaptive — questions you miss appear more often until mastered