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.
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