Diagnosed with end-stage cirrhosis

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Reference no: EM133756720

Question

A 67-year-old male client has been living at home after they were diagnosed with end-stage cirrhosis. Today the client presents to the emergency department after noticing black tarry stools. Initial nursing assessment findings are: Highlight the assessment findings that require immediate follow-up by the nurse. +/- Scoring • Is alert and oriented X 4 • Breath sounds clear in all fields • Heart sounds S1/S2 present • Capillary refill= 4 sec • Client's sclera is yellow • Bowel sounds active x 4 • Abdomen is distended and firm • Skin is warm and dry • Pedal pulses +2 bilaterally • Oxygen saturation =92% (on room air) • Pin-point bruises are noted on lower arms and legs.

Reference no: EM133756720

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