Home » NCLEX » NCLEX-RN » Which of the following is an early sign of impending hepatic coma?
A chronic alcoholic client’s condition deteriorates, and he begins to exhibit signs of hepatic coma. Which of the following is an early sign of impending hepatic coma?
A. Hiccups
B. Anorexia
C. Mental confusion
D. Fetor hepaticus
Correct Answer: C
Explanation/Reference:
Explanation:
(A) Hiccups are not a sign of impending hepatic coma. (B) Anorexia is not a sign of impending hepatic coma. (C) One of the earliest symptoms of hepatic coma is mental confusion. Asterixis, a flapping tremor of the hand, may also be seen. (D) This sign is associated with the later stages of hepatic coma. Fetor hepaticus, a characteristic odor on the breath that smells like acetone, may sometimes be noted when the liver fails.
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