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    ATI N480 Advanced Med Surg proctored Exam_

    A nurse is assessing a client who has cirrhosis. Which of the following is an expected finding for this client?

    Explanation & Rationale

    Choice A reason: Spider angiomas, small dilated blood vessels, are an expected finding in cirrhosis due to portal hypertension and estrogen accumulation from impaired liver metabolism. These skin lesions reflect vascular changes, making them a hallmark sign of chronic liver disease. Choice B reason: Tarry stools indicate gastrointestinal bleeding, often from esophageal varices in advanced cirrhosis, but are not a universal finding. Spider angiomas are more consistently present due to chronic liver dysfunction, making this less definitive than vascular skin changes. Choice C reason: Moist skin is not typical in cirrhosis, which may cause dry skin due to malnutrition or cholestasis. Hypermetabolic states like thyrotoxicosis cause moist skin, not cirrhosis, making this an incorrect finding for the condition’s presentation. Choice D reason: Blood in the urine (hematuria) is not a common finding in cirrhosis. It may occur in renal conditions but is unrelated to cirrhosis’s primary effects on liver function and portal hypertension, making this an incorrect expected finding.

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