Question

A client has newly diagnosed cirrhosis and has pulled his nasogastric (ng) tubing for the third time. his ammonia level is above normal. which nursing diagnosis is appropriate for this client?

Answer 1

A client has newly diagnosed cirrhosis and has pulled his nasogastric (ng) tubing for the third time. his ammonia level is above normal. the nursing diagnosis that is appropriate for this client is  Acute Confusion .

Electrolyte imbalances, changes in blood chemistry (such as high blood urea nitrogen or ammonia), and toxic amounts of CNS-active medications might alter sensoristasis and lead to a nursing diagnosis of acute confusion. A client who has trouble falling asleep and remaining asleep would be diagnosed as having altered rest and comfort. If a client is having hallucinations or delusions, the diagnosis would be disturbed cognitive process.

For a person with attention deficit disorder or attention deficit hyperactivity disorder, ineffective impulse control would be the norm. An immediate illustration of a problem with sensory perception is the nursing diagnosis of acute confusion. Although it is not a direct example, sleep problems can affect sensory perception. Changes in sensory perception are what cause the sense of helplessness and inadequate coping.

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