Difficulty: Medium
Average Score: 95%
Simulated
The client in end-stage liver failure has vitamin K deficiency. Which interventions should the nurse implement?
Correct answer
A,B,D
Rationale
Vitamin K deficiency impairs clotting, increasing bleeding risk, so avoiding rectal temperatures, using a soft toothbrush, and small-gauge needles minimize trauma. Platelet counts and asterixis are unrelated to bleeding risk.