A nurse is assessing a client diagnosed with cirrhosis.
Which of the following manifestations should the nurse expect?

Tarry stools.

Spider angiomas.

Moist skin.

Blood in the urine.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Tarry stools are not a typical manifestation of cirrhosis. They are more commonly associated with gastrointestinal bleeding.

Choice B rationale

Spider angiomas are a common manifestation of cirrhosis. They are small, dilated blood vessels with a bright red center point and radiating branches, and they are often found on the face, neck, and chest.

Choice C rationale

Moist skin is not a typical manifestation of cirrhosis. Cirrhosis can cause various skin changes, but they typically include jaundice, pruritus, and palmar erythema.

Choice D rationale

Blood in the urine is not a typical manifestation of cirrhosis. It is more commonly associated with urinary tract infections, kidney stones, or bladder disorders.

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Correct Answer is D

Explanation

Choice A rationale

Sleeping on the left side does not directly help manage GERD. While it might help with digestion due to the positioning of the stomach, it is not a primary recommendation for GERD management.

Choice B rationale

Drinking milk is not a recommended way to soothe the stomach for a GERD patient. While milk might provide temporary relief from acid reflux, it could potentially stimulate the stomach to produce more acid, which can exacerbate GERD symptoms.

Choice C rationale

Waiting to go to bed for 1 hour after eating can help manage GERD. However, it is generally recommended to wait 2-3 hours after eating before lying down. This allows time for the stomach to empty and reduces the chance of stomach acid backing up into the esophagus.

Choice D rationale

Eating four to six small meals each day is a recommended way to manage GERD. Smaller meals are easier on the stomach, as they require less acid for digestion. This can help reduce the symptoms of GERD12.

A. The client’s daughter, who is the primary caregiver. B. The client. C. The client’s partner. D. The client’s son, who has a durable power of attorney.

Correct Answer is B

Explanation

Choice A rationale

While the client’s daughter, who is the primary caregiver, may have a significant role in the client’s care, the decision to sign the informed consent ultimately lies with the client if they are deemed competent.

Choice B rationale

The client, who is alert and oriented to person, place, and time, and has advance directives, is the most appropriate person to sign the informed consent. As long as the client is competent and understands the information provided, they have the right to make their own medical decisions.

Choice C rationale

The client’s partner does not have the legal authority to sign the informed consent on behalf of the client unless the client is deemed incompetent and the partner is designated as the legal representative.

Choice D rationale

The client’s son, who has a durable power of attorney, can only sign the informed consent on behalf of the client if the client is deemed incompetent. Since the client is alert and oriented, they should be the one to sign the informed consent.

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A nurse is assessing a client diagnosed with cirrhosis.Which of the following manifestations should the nurse expect?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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A nurse is assessing a client diagnosed with cirrhosis.
Which of the following manifestations should the nurse expect?