Which of the following signs/symptoms would not be seen in a patient with cirrhosis?

dark coloured urine

dark coloured stool

jaundice

pruritis

ascites

Answer and Explanation

The Correct Answer is B

A. Dark colored urine: Dark urine can be a sign of bilirubin buildup in the body due to liver dysfunction, commonly seen in cirrhosis.

B. Dark colored stool: This is not typically associated with cirrhosis. Dark stools can indicate gastrointestinal bleeding, but in cirrhosis, stools are more likely to be pale or clay-colored due to a lack of bile.

C. Jaundice: Jaundice occurs due to the liver's inability to process bilirubin, leading to yellowing of the skin and eyes.

D. Pruritus: Pruritus, or itching, is common in cirrhosis due to bile salt deposition in the skin.

E. Ascites: Ascites, the accumulation of fluid in the abdomen, is a common complication of cirrhosis due to portal hypertension and low albumin levels.

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Correct Answer is B

Explanation

A. Respiratory acidosis: Respiratory acidosis would present with a low pH (below 7.35) and a high PaCO2 (above 45 mmHg).

B. Respiratory alkalosis: This ABG shows a high pH (7.51), low PaCO2 (32 mmHg), and normal HCO3- (26 mEq/L), indicating respiratory alkalosis, typically due to hyperventilation.

C. Metabolic acidosis: Metabolic acidosis would present with a low pH and low HCO3-, but in this case, the HCO3- is normal.

D. Metabolic alkalosis: Metabolic alkalosis would show a high pH and high HCO3-, but the HCO3- in this ABG is normal.

A. Assess the cause of the agitation. B. Reassure the client that he or she is safe. C. Restrain the client's hands. D. Sedate the client immediately.

Correct Answer is A

Explanation

A. Assess the cause of the agitation: This is the most appropriate action. Agitation in a mechanically ventilated patient can be due to multiple causes, such as pain, hypoxia, or discomfort. It is crucial to assess and identify the underlying cause to address it appropriately.

B. Reassure the client that he or she is safe: While reassurance is important, it may not address the root cause of the agitation, especially if it is related to a physical issue such as hypoxia or tube displacement.

C. Restrain the client's hands: Restraining should be a last resort after other interventions have failed. Restraints can cause further agitation and distress.

D. Sedate the client immediately: Sedating the client without assessing the cause of the agitation could mask serious issues and lead to inappropriate treatment.

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Which of the following signs/symptoms would not be seen in a patient with cirrhosis?

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Naxlex Comprehensive Predictor Exams

Interpret the following ABG: PH 7.51 Pa02 88 PaC02 32 Bicarb (HC03-) 26 Sa02 95%

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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