Which of the following is a clinical manifestation of decompensated cirrhosis? (select all that apply)
Jaundice
Hepatic encephalopathy
Ascites
Regular exercise
Correct Answer : A,B,C
Rationale:
A. Decompensated cirrhosis impairs the liver’s ability to process bilirubin, leading to yellowing of the skin and eyes.
B. Accumulation of ammonia and other toxins due to liver dysfunction can cause confusion, altered level of consciousness, and asterixis.
C. Fluid shifts into the peritoneal cavity occur due to low albumin levels and portal hypertension, causing abdominal distention.
D. While beneficial for overall health, exercise is not a clinical manifestation of cirrhosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. RBC count is not typically affected by acute pancreatitis unless there is bleeding, which is uncommon.
B. Serum amylase is elevated in acute pancreatitis because pancreatic inflammation leads to the release of digestive enzymes into the bloodstream. Amylase levels usually rise within 6–12 hours of symptom onset and remain elevated for 3–5 days.
C. Calcium levels often decrease in acute pancreatitis due to fat saponification, not increase.
D. Magnesium levels are usually normal or decreased, but elevation is not a typical finding in pancreatitis.
Correct Answer is C
Explanation
Rationale:
A. Extreme thirst is associated with hypernatremia, not hypokalemia.
B. Hypokalemia typically causes hyporeflexia, not hyperactive reflexes.
C. Weak, irregular pulse is expected with hypokalemia because low potassium affects cardiac conduction and muscle contractility, increasing the risk of dysrhythmias.
D. Hypokalemia usually causes hypoactive bowel sounds due to decreased smooth muscle activity.
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