In a client with liver dysfunction and low fibrinogen levels, what nursing actions should be prioritized for safety?

In a client experiencing liver dysfunction accompanied by low fibrinogen levels, prioritizing patient safety involves minimizing the risk of bleeding and injury, as both conditions can lead to coagulation issues and increased bleeding susceptibility. Providing a soft toothbrush is crucial in this scenario because it helps to reduce the risk of gum bleeding and oral trauma, which can occur more readily in patients with compromised liver function and resultant low platelet levels or coagulopathy.

The gentle brushing action of a soft toothbrush minimizes irritation and potential bleeding of the gums, which is especially important in clients who may already have fragile blood vessels and reduced clotting ability due to low fibrinogen. Maintaining oral hygiene without causing injury is essential for overall health and comfort, particularly in clients at risk of bleeding.

While monitoring serum potassium levels, weighing the client daily, and instructing the use of a manual razor may have their own importance in the management of such patients, they do not directly address the immediate concerns for safety related to bleeding risks associated with low fibrinogen levels and liver dysfunction. Therefore, the action of providing a soft toothbrush is the most pertinent and safety-focused strategy in this context.