A 51-year-old male with hepatobiliary disease is scheduled for surgery.The perioperative nurse,during the preoperative assessment,questions and examines the patient for signs and symptoms of jaundice,petechiae,and lethargy and:

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The patient with hepatobiliary disease may have extreme jaundice,urticaria,petechiae,lethargy,and irritability.Depending on the extent of the disease,bleeding and coagulation times may increase and the platelet count may decrease,contributing to intraoperative concerns with achieving hemostasis.A thorough nursing history is necessary for proper assessment of the health status of patients with dysfunctions of the hepatobiliary system,pancreas,or spleen.

A 51-Year-Old Male with Hepatobiliary Disease Is Scheduled for Surgery