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1. Question
The nurse is performing an assessment on a client who has developed cirrhosis. Which of the following signs and symptoms should the nurse expect to see? Select all that apply.
Correct
Answer & Rationale:
The Answer is 1, 3, and 4
Explanation:
(1) CORRECT: Signs and symptoms of cirrhosis include dull abdominal ache.
(3) CORRECT: Signs and symptoms of cirrhosis include poor tissue turgor.
(4) CORRECT: Signs and symptoms of cirrhosis include bruises due to bleeding tendencies.
Incorrect
Answer & Rationale:
The Answer is 1, 3, and 4
Explanation:
(1) CORRECT: Signs and symptoms of cirrhosis include dull abdominal ache.
(3) CORRECT: Signs and symptoms of cirrhosis include poor tissue turgor.
(4) CORRECT: Signs and symptoms of cirrhosis include bruises due to bleeding tendencies.
Types of Cirrhosis
Laennec’s Cirrhosis
Cirrhosis is alcohol-induced, nutritional, or portal.
Cellular necrosis causes eventual widespread scar tissue, with fibrotic infiltration of the liver.
Postnecrotic Cirrhosis
Cirrhosis occurs after massive liver necrosis.
Cirrhosis results as a complication of hepatitis or exposure to hepatotoxins.
Scar tissue causes destruction of liver lobules and entire lobes.
Biliary Cirrhosis
Cirrhosis develops from chronic biliary obstruction, bile stasis, and inflammation, resulting in severe obstructive jaundice.
Cardiac Cirrhosis
Cirrhosis is associated with severe, right-sided congestive heart failure and results in an enlarged, edematous, congested liver.
The liver becomes anoxic, resulting in liver cell necrosis and fibrosis.
