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The client with cirrhosis is at risk for developing complications. Which condition is the most serious and potentially life-threatening?

A.

Esophageal varices

B.

Altered mental status

C.

Low serum albumin

D.

Decreased reflexes

Answer and Explanation

The Correct Answer is A

A)    These are dilated veins in the esophagus that can rupture and lead to life- threatening bleeding.
B)    While concerning and indicative of hepatic encephalopathy, it is not immediately life-threatening like a variceal bleed.
C)    Indicates poor nutritional status and liver function but is not as acutely dangerous as bleeding varices.
D)    This is a concern but does not represent an immediate life-threatening condition like esophageal varices.
 


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Related Questions

Correct Answer is A

Explanation

A) Cirrhosis can lead to coagulopathy due to impaired synthesis of clotting factors by the liver, putting the client at high risk for bleeding.

B) While clients with cirrhosis may experience fatigue, it is not the priority problem indicated by the assessment data provided.
C) Decreased appetite and jaundice may affect nutritional status, but they do not pose an immediate threat compared to the risk of bleeding.
D) Jaundice can lead to pruritus and increased risk of skin breakdown, but it is not the priority problem indicated by the assessment data provided.

Correct Answer is A

Explanation

A) Elevated serum ammonia levels can lead to hepatic encephalopathy, which affects mental status and consciousness, making this the priority assessment.
B) The PT is slightly prolonged but not alarmingly high; bleeding is less of a concern compared to the elevated ammonia.
C) This action is important in assessing fluid accumulation but is not as critical as assessing mental status in this scenario.
D) While part of a comprehensive abdominal assessment, this is not the most critical action given the elevated ammonia level.

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