Practice Question
A nurse is assessing a client who has advanced cirrhosis. Which of the following manifestations should the nurse expect?
Answer Choices:
Correct Answer:
Petechiae
Rationale:
🔴 In advanced cirrhosis, liver damage leads to decreased production of clotting factors and thrombopoietin, resulting in thrombocytopenia and increased bleeding tendency.
🔴 Petechiae—small, pinpoint red or purple spots on the skin—are a classic sign of impaired coagulation due to low platelet count or clotting deficiencies.
🔴 Hypertension may occur as portal hypertension, but systemic hypertension is not typical in cirrhosis.
🔴 Peripheral ulcers and osteoarthritis are unrelated to liver function failure and are not expected findings.
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This question is from Custom NC3 - Fall 2025 - Exam 2-PM which contains 57 questions.
More Questions from This Exam
Which of the following is NOT commonly recommended for patients with Crohn's disease during a flare-up?
Answer Choices:
A. Very Low-residue diet
B. High Folic Acid Vegetables
C. Corticosteroids
D. Immunosuppressants
Which patient should the nurse assess first?
Answer Choices:
A. A patient with ulcerative colitis receiving sulfasalazine who reports low grade fever and orange urine
B. A patient with liver failure receiving spironolactone with a potassium level of 4.9 mEq
C. A patient with hepatic encephalopathy on lactulose who reports 2 soft stools and mild bloating
D. A patient with diverticulitis receiving metronidazole who has a metallic taste and mild nausea
Which task should NOT be delegated to the LPN?
Answer Choices:
A. Performing frequent mental status assessments on a patient with hepatic encephalopathy
B. Reinforcing dietary instructions for a patient with diverticulitis
C. Administering oral metronidazole to a stable patient with Crohn's disease
D. Monitoring bowel sounds for a patient with ulcerative colitis
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI MedSurg
- Answer Choices: 4