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Author Question: The patient with cirrhosis has a rising ammonia level and is becoming disoriented. The patient waves ... (Read 62 times)

imowrer

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on: Jul 11, 2018
The patient with cirrhosis has a rising ammonia level and is becoming disoriented. The patient waves to the nurse as she enters the room. How should the nurse interpret this?
 
  a. As an attempt to get the nurse's attention
  b. As asterixis
  c. As an indication of respiratory obstruction from varices
  d. As spasticity

Question 2

A patient with a large inguinal hernia has abdominal distention and inguinal pain. The nurse recognizes these as indicators of which type of hernia?
 
  a. Strangulated
  b. Hiatal
  c. Ventral
  d. Umbilical


jessofishing

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Reply #1 on: Jul 11, 2018
Answer to Question 1

ANS: B
Asterixis is the flapping tremor seen as the patient deteriorates into ammonia intoxication or hepatic encephalopathy.

Answer to Question 2

ANS: A
The hernia is strangulated when the blood supply and intestinal flow are occluded, which results in pain and distention.


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