Get Answer: Anderson Pronouns Years Question Guide

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This question relates to anderson pronouns years and requires a structured academic response.

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Key Explanation

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Original Question

Ib Anderson (pronouns he/him/his), 46 years old, presents with confusion and abdominal distention. Ib has a history of chronic alcoholism and liver cirrhosis, though he reports that he stopped drinking 4 years ago. His partner, Luis, reports Ib has gained at least 15 lbs. in the last month, has not been sleeping well, and has been uncharacteristically agitated at home and work the past three days. ​ Ib has a history of alcohol abuse, quit 4 years ago after a motor vehicle accident, and previously drank three cases of beer/per week for 15 years. Liver cirrhosis secondary to heavy alcohol consumption diagnosed 4 years ago with ultrasound and liver biopsy. He also has a history of ascites and peripheral edema. He takes spironolactone 50 mg orally every day; lasix 20 mg orally every day; and propranolol 10 mg orally three times each day, though Ib has a history of non-compliance with his medication regimen. ​ Ib’s vital signs are blood pressure 120/75 mmHg, heart rate is regular at 78 beats per minute, respiratory rate is 16 breaths per minute and unlabored, temperature is 98.6 °F (37 °C), and oxygen saturation is 97% on room air. His weight is 171 lbs and height is 5ft. 7in. ​ He appears restless and is disoriented to time, place, and people . He is slow to answer questions but appears in no obvious distress. Mild jaundice is noted. Gynecomastia is noted. Abdomen is moderately distended, firm, and slightly tender. Bowel sounds are active. Guarding, rebound tenderness are negative. No masses are palpated. ​ Which actions should the nurse practitioner (NP) take to manage Ib’s care effectively? Select all that apply. Closely monitor mental status changes Recommend decreasing sodium intake Recommend careful medication adherence Prescribe lactulose as recommended by a hepatologist or gastroenterologist Consult with the hepatologist or gastroenterologist about Ib’s adherence and dosage of propranolol Recommend increasing protein intake to support liver function and overall health

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