A client with liver cirrhosis is at risk of bleeding due to decreased synthesis of clotting factors. Which nursing intervention is essential in preventing bleeding episodes?

A) While ambulation and leg exercises are essential for maintaining overall health, they are not directly related to preventing bleeding episodes in clients with liver cirrhosis. The risk of bleeding in these clients is primarily related to clotting factor synthesis impairment.

B) Applying cold packs can help reduce swelling and inflammation but may not be the most appropriate intervention for preventing bleeding episodes in clients with liver cirrhosis. Cold packs may have limited effectiveness in addressing the underlying clotting factor deficiency.

C) Clients with liver cirrhosis may experience impaired clotting due to decreased synthesis of clotting factors by the liver. To prevent bleeding episodes, using a soft-bristle toothbrush for oral care is essential. A soft-bristle toothbrush is gentler on the gums and oral tissues, reducing the risk of causing trauma or bleeding during oral hygiene practices.

D) While it is important to administer intramuscular injections cautiously in clients with clotting disorders, this intervention is not the most essential for preventing bleeding episodes. Clients with liver cirrhosis are at risk of bleeding primarily due to the liver's decreased synthesis of clotting factors, not necessarily due to intramuscular injections.

A) Hemochromatosis is a genetic disorder characterized by excessive iron absorption from the diet, leading to the accumulation of iron in various organs, including the liver. In individuals with hemochromatosis, the excess iron can cause liver cell injury and lead to cirrhosis over time.

B) Wilson's disease is a genetic disorder that causes impaired copper metabolism, leading to copper accumulation in the liver and other organs. While it can lead to liver damage, it is not associated with elevated iron levels.

C) Alpha-1 antitrypsin deficiency is a genetic disorder that affects the lungs and liver. It can lead to liver disease, but it does not cause elevated iron levels.

D) Primary biliary cholangitis is an autoimmune liver disease that primarily affects the small bile ducts within the liver. While it can lead to liver damage and cirrhosis, it is not associated with elevated iron levels.