A client with a history of excessive alcohol use develops hepatic portal hypertension
and an elevated serum aldosterone level. For which complications should the nurse
assess this client?
1
2
4
A client is admitted to the hospital with a diagnosis of cirrhosis of the liver. For
which assessment signs of hepatic encephalopathy should the nurse assess this
client? Select all that apply.
2
Increased cholesterol
3
Brown-colored stools
Correct4
Flapping hand tremors
Correct5
Musty, sweet breath odor
An accumulation of nitrogenous wastes affects the central nervous system, causing mental confusion. An
accumulation of nitrogenous wastes in hepatic encephalopathy affects the nervous system. Flapping
tremors and generalized twitching occur in the second and third stages, respectively. Fetor hepaticus is
the musty, sweet odor of the client’s breath. Increased cholesterol levels are not necessarily present.
Stool is often clay-colored because of lack of bile caused by biliary obstruction.
A nurse is caring for a client with hepatic encephalopathy and ascites. Which
Category | HESI EXAM |
Comments | 0 |
Rating | |
Sales | 0 |