A nurse is assessing a client diagnosed with cirrhosis.
Which of the following manifestations should the nurse expect?

Tarry stools.

Spider angiomas.

Moist skin.

Blood in the urine.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Tarry stools are not a typical manifestation of cirrhosis. They are more commonly associated with gastrointestinal bleeding.

Choice B rationale

Spider angiomas are a common manifestation of cirrhosis. They are small, dilated blood vessels with a bright red center point and radiating branches, and they are often found on the face, neck, and chest.

Choice C rationale

Moist skin is not a typical manifestation of cirrhosis. Cirrhosis can cause various skin changes, but they typically include jaundice, pruritus, and palmar erythema.

Choice D rationale

Blood in the urine is not a typical manifestation of cirrhosis. It is more commonly associated with urinary tract infections, kidney stones, or bladder disorders.

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Correct Answer is B

Explanation

Choice A rationale

Cheyne-Stokes breathing, characterized by a cycle of increasing and decreasing respiratory rate and depth, is not a typical symptom of diabetic ketoacidosis (DKA). DKA is more commonly associated with Kussmaul breathing, which is rapid, deep, and labored.

Choice B rationale

An acetone odor to the breath is a classic symptom of DKA. This is due to the body breaking down fat for energy, which produces ketones. These ketones can cause the breath to smell fruity or like nail polish remover.

Choice C rationale

A blood glucose level below 40 mg/dL is not a symptom of DKA. In fact, DKA is characterized by high blood glucose levels, typically above 250 mg/dL111213.

Choice D rationale

Malignant hypertension is not a typical symptom of DKA. While DKA can cause dehydration and electrolyte imbalances that may affect blood pressure, it does not typically cause malignant hypertension.

A. Hematuria B. Pelvic pain C. Moderate amount of dark red lochia with a bloody odor D. Localized area of breast tenderness

Correct Answer is B

Explanation

Choice A rationale

Hematuria, or blood in the urine, is not typically a symptom of postpartum endometritis.

Choice B rationale

Pelvic pain is a common symptom of postpartum endometritis. It is often one of the first symptoms to appear, along with lower abdominal pain and uterine tenderness.

Choice C rationale

While a moderate amount of dark red lochia with a bloody odor can be a normal part of the postpartum period, it is not specifically indicative of endometritis.

Choice D rationale

Localized area of breast tenderness is not typically a symptom of postpartum endometritis.

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A nurse is assessing a client diagnosed with cirrhosis.Which of the following manifestations should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient diagnosed with diabetic ketoacidosis.Which of the following symptoms should the nurse expect?

Correct Answer is B

Explanation

A nurse is evaluating a postpartum client for potential endometritis.Which of the following symptoms should the nurse identify as a need for further assessment?

Correct Answer is B

Explanation

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A nurse is assessing a client diagnosed with cirrhosis.
Which of the following manifestations should the nurse expect?