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Salesforce Certified Experience Cloud Consultant

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NEW QUESTION: 1
Rudy is a 55-year-old patient who was diagnosed with Hepatitis A.
After three weeks, the patient developed hepatic cirrhosis and ascites with an elevated serum ammonia level. What would be the
priority nursing intervention, considering that the patient has high ammonia levels?
A. Obtaining a daily weight
B. Observe for signs of increasing confusion
C. Measurement of urine specific gravity
D. Oral fluid intake restrictions
Answer: B
Explanation:
The priority nursing intervention considering that the patient has a high ammonia level is to
observe for any signs of increasing confusion. The patient's safety will be the priority since the patient has
altered level of consciousness caused by an increased serum ammonia level that impairs the cranial
nerve system.


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