A nurse is caring for a client who has a new diagnosis of liver disease. Which of the following manifestations should the nurse expect?
Night sweats
Acanthosis nigricans
Hemosiderin staining
Pruritus
The Correct Answer is D
Choice A Reason: Night sweats
Night sweats are not typically associated with liver disease. They are more commonly linked to conditions such as infections, hormonal imbalances, or certain cancers1. While liver disease can cause a variety of symptoms, night sweats are not a primary manifestation.
Choice B Reason: Acanthosis nigricans
Acanthosis nigricans is characterized by dark, velvety patches of skin, usually in body folds and creases. It is often associated with insulin resistance, obesity, and certain endocrine disorders. It is not a common manifestation of liver disease.
Choice C Reason: Hemosiderin staining
Hemosiderin staining refers to the deposition of iron in the skin, which can cause a brownish discoloration. This condition is more commonly associated with chronic venous insufficiency or hemochromatosis, a genetic disorder that causes iron overload. It is not a typical symptom of liver disease.
Choice D Reason: Pruritus
Pruritus, or itching, is a common symptom of liver disease. It is often caused by the accumulation of bile salts in the skin due to impaired bile flow, a condition known as cholestasis. This symptom can be particularly distressing for patients and is a significant indicator of liver dysfunction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason:
A healthy stoma should be pink or red, not purple. A purple stoma could indicate compromised blood flow and requires immediate medical attention.
Choice B Reason:
A sigmoid colostomy typically produces formed stool because it is located in the lower part of the colon, where water absorption occurs.
Choice C Reason:
The stoma itself should not be painful after the procedure. Pain may indicate complications such as infection or improper stoma care.
Choice D Reason:
This is the correct answer. A sigmoid colostomy is usually located in the left lower abdomen, as this is where the sigmoid colon is situated.
Correct Answer is B
Explanation
Choice A Reason:
A rigid abdomen is not a typical finding in a client with diarrhea. It may indicate a more serious condition such as peritonitis or an acute abdomen, which requires immediate medical attention.
Choice B Reason:
This is the correct answer. Dehydration is a common complication of prolonged diarrhea due to the significant loss of fluids and electrolytes. Symptoms of dehydration include excessive thirst, dry mouth, dark-colored urine, and dizziness.
Choice C Reason:
Hypothermia is not commonly associated with diarrhea. Diarrhea typically does not affect body temperature to the extent of causing hypothermia.
Choice D Reason:
Decreased bowel sounds are not typically expected with diarrhea. In fact, bowel sounds may be hyperactive due to increased intestinal activity.
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