While assessing a patient admitted with acute hepatic dysfunction,the nurse notes abnormal involuntary movements of the patient's hands.How should the nurse document this finding?
A)As seizure activity
B)As asterixis
C)As decorticate posturing
D)As hyperreflexia

Question

Quizplus · Accepted Answer

Abnormal involuntary movements of the hands in a patient with acute hepatic dysfunction is likely to be asterixis or "flapping tremors". This is due to the buildup of toxins such as ammonia in the blood, affecting the brain and causing metabolic encephalopathy. It is important for the nurse to document this finding accurately to help the healthcare team assess and manage the patient's condition. Seizure activity, decorticate posturing, and hyperreflexia may also occur in hepatic encephalopathy, but they are distinct from asterixis and should be documented separately if present.

While Assessing a Patient Admitted with Acute Hepatic Dysfunction,the Nurse