While assessing a patient admitted with acute hepatic dysfunction, the nurse notes abnormal involuntary movements of the patient's hands. The nurse realizes this assessment finding would be considered

1. hyperreflexia.
2. asterixis .
3. seizure.
4. abnormal posturing.


2

Rationale: Asterixis, or liver flap, refers to an involuntary tremor that is particularly noted in the hands but may also be seen in the feet and tongue. This abnormal movement is not considered hyperreflexia or a seizure. Abnormal posturing would affect all four extremities.

Nursing

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How will the nurse document this occurrence? 1. Abnormal and should be reported to the healthcare provider. 2. Hyperactive. 3. A medication side effect. 4. A normal response.

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A 12-year-boy is being discharged from the hospital after major surgery. The boy will be taking two medications at home for an extended period. The nurse who is discharging the patient should provide medication teaching specifically to

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Nursing

The following are diet plans that involve a breakdown of the total calories provided by each food group per the given percentages

Which of the following dietary distributions should the nurse recommend to a client in shock with respiratory distress syndrome? A) Protein 40%; carbohydrate 40%; fat 20% B) Protein 20%; carbohydrate 40%; fat 40% C) Protein 40%; carbohydrate 20%; fat 40% D) Protein 80%; carbohydrate 10%; fat 10%

Nursing

A patient is having a blood sample for MB-CPK. The nurse realizes that this test is used to aid in the diagnosis of

a. liver disease c. myocardial infarction b. diabetes d. rheumatoid arthritis

Nursing