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

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**