Which assessment findings would be significant for a child with cirrhosis?

a. Weight loss
b. Change in level of consciousness
c. Soft, smooth skin
d. Pallor and cyanosis


B
The child with cirrhosis must be assessed for encephalopathy, which is characterized by a change in level of consciousness. Encephalopathy can result from a buildup of ammonia in the blood from the incomplete breakdown of protein. One complication of cirrhosis is ascites. The child needs to be assessed for increasing abdominal girth and edema. A child who is retaining fluid will not exhibit weight loss. Biliary obstruction can lead to intense pruritus. The skin will be irritated from frequent scratching. A skin assessment would likely reveal jaundice. Pallor and cyanosis are associated with a cardiac problem.

Nursing

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A nurse needs to create more time. Three ways to do this are:

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