Question
Wuestion 24
Which condition does the nurse suspect in a patient who has asterixis and twitching of the
Ascites
Liver cirrhosis
Esophageal varices
Hepatic encephalopathy
Which condition does the nurse suspect in a patient who has asterixis and twitching of the
Ascites
Liver cirrhosis
Esophageal varices
Hepatic encephalopathy
Ask by Spencer Hanson. in the United States
Jan 09,2025
Upstudy AI Solution
Tutor-Verified Answer
Answer
The nurse suspects Hepatic Encephalopathy in the patient due to the presence of asterixis and twitching.
Solution
The nurse should suspect Hepatic Encephalopathy in a patient exhibiting asterixis and twitching.
Explanation:
-
Asterixis is characterized by a “flapping” tremor, typically seen when the hands are extended. It is a key clinical sign associated with Hepatic Encephalopathy.
-
Hepatic Encephalopathy is a neuropsychiatric syndrome caused by liver dysfunction, often seen in advanced Liver Cirrhosis. It results from the accumulation of neurotoxins like ammonia that the liver normally detoxifies.
-
While Ascites (accumulation of fluid in the abdomen) and Esophageal Varices (enlarged veins in the esophagus) are complications of liver cirrhosis, they do not directly present with asterixis and muscle twitching.
Correct Answer:
Hepatic encephalopathy
Answered by UpStudy AI and reviewed by a Professional Tutor
Like
error msg
Explain 
Simplify this solution Mind Expander
Asterixis, often described as a “flapping tremor,” is typically seen in patients with hepatic encephalopathy, a condition that arises due to the liver’s inability to clear toxins from the bloodstream, leading to changes in mental status and motor function. The twitching indicates neurocognitive impairment commonly associated with advanced liver disease.
Along with the asterixis, if the patient also has ascites, it’s crucial to consider that this fluid accumulation can be a manifestation of liver cirrhosis, which can subsequently lead to hepatic encephalopathy. So, while asterixis points towards hepatic encephalopathy, it may also reflect the broader context of liver dysfunction, like cirrhosis, that necessitates comprehensive assessment and management.
