Which assessment finding is most suggestive of worsening portal hypertension in a patient with cirrhosis?
Correct answer: B. Increasing abdominal collateral veins
- A. Mild pruritus after bathing
- B. Increasing abdominal collateral veins
- C. Occasional heartburn after meals
- D. A small bruise at an injection site
Explanation
Prominent abdominal collateral veins, sometimes called caput medusae, develop when portal blood is diverted through systemic veins. They indicate increased portal pressure and are associated with other complications such as varices.
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About Gastrointestinal and Liver Nursing
Covers nursing care for peptic ulcer disease, gastroenteritis, inflammatory bowel disease, intestinal obstruction, hepatitis, cirrhosis and portal hypertension. It includes nutrition, fluid and electrolyte management, abdominal assessment, gastrointestinal bleeding, ascites and hepatic encephalopathy, which must be distinguished from other causes of altered consciousness.
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50 free Gastrointestinal and Liver Nursing MCQs from Medical Surgical Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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