The nurse is assessing a client for asterixis. Which instruction to the client is most appropriate?
a. "Close your eyes and take turns touching your nose with your fingers."
b. "Sit on the edge of the bed and hold your legs straight out for 30 seconds."
c. "Extend your arm, flex your wrist upward, and extend your fingers."
d. "Say ‘EEEEE' while I listen to your lungs in the back on both sides."
C
Asterixis, or liver flap, is a tremor in the client's wrists and fingers. The correct technique for assessing the presence of asterixis is to extend the arm, dorsiflex the wrist, and extend the fin-gers. The other directions are not related to asterixis.
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