A patient is admitted with the diagnosis of possible acute pancreatitis. Upon assessment, the nurse notes faint bruising over the patient's flank region and realizes this is considered
1. Cullen's sign.
2. Grey Turner's sign.
3. Chvostek's sign.
4. Homan's sign.
2
Rationale: While assessing the patient's integumentary status, the nurse might observe a bluish discoloration over the patient's flank region. This discoloration is considered the Grey Turner's sign. The Cullen's sign is a bluish discoloration around the umbilicus. Chvostek's sign is seen in hypocalcemia and is characterized by numbness and tingling around the mouth. Homan's sign is calf pain upon dorsiflexion of the feet. Both Chvostek's sign and Homan's sign are not clinical indicators of acute pancreatitis.
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