. Excess Fluid Volume: Risk for electrolyte imbalance related to compromised regulatory mechanisms with accumulation of fluid retention occurring with hepatocellular failure and portal hypertension.
Desired outcomes:
Within 1 day of discharge, client will exhibit normovolemic status as evidenced by respiratory rate between 12 -20 breaths per minute without any respiratory distress, edema at 1 or less, and a reduction of abdominal girth.