The nurse assesses a patient who has cirrhosis secondary to liver failure. Which finding would require immediate follow-up by the nurse?

Question

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Dyspnea can indicate respiratory distress, possibly caused by fluid buildup in the lungs due to the liver failure. This finding requires immediate follow-up by the nurse. Asterixis (hand tremors), jaundice, and increased abdominal girth are common findings in patients with cirrhosis and should also be monitored, but they do not require immediate follow-up unless they worsen or are accompanied by other concerning symptoms.

The Nurse Assesses a Patient Who Has Cirrhosis Secondary to Liver