A nurse is caring for a newly admitted client. Exhibits A nurse notes the client's condition and initiates the following action. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress

Rationale: Potential Condition: The client with cirrhosis shows elevated ammonia (236 mcg/dL), confusion, agitation, and disorientation, which are classic findings of hepatic encephalopathy. Actions to Take: Lactulose is given to lower ammonia levels by promoting its excretion through the stool. Assessing for asterixis (flapping tremor of the hands) is key in identifying worsening encephalopathy. Parameters to Monitor: Neurologic status (orientation, cognition, responsiveness) should be monitored closely to evaluate improvement or deterioration. Safety measures are essential because confusion and agitation increase the client’s risk for falls and injury.