Which physical finding should the nurse expect to assess in a patient with alcoholic liver disease?
A) Dyslipidemia
B) Insulin resistance
C) Palmar erythema
D) Hyperglycemia
C) Palmar erythema
Explanation: A) Manifestations of metabolic syndrome, such as obesity, diabetes, or dyslipidemia, may be present in the patient with nonalcoholic fatty liver disease.
B) Metabolic syndrome and insulin resistance are important components associated with the development of nonalcoholic steatohepatitis.
C) Physical examination findings for patients with alcoholic hepatitis may include ascites, jaundice, hepatic encephalopathy, splenomegaly, hepatomegaly, spider angiomata, and palmar erythema.
D) Insulin resistance is the key abnormality associated with obesity-related nonalcoholic fatty liver disease. The fatty liver becomes insulin resistant and overproduces glucose, very low-density lipoprotein, C-reactive protein, and interleukin-6, leading to hyperglycemia, dyslipidemia, and hyperinsulinemia, which are components of metabolic syndrome.
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The nurse is caring for a patient in droplet precautions. What protective gear should the nurse wear when providing care to this patient?
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