Question

the nurse notes that the medical record of a client diagnosed with cirrhosis states that the client has asterixis. to effectively verify this information the nurse would take which action? answer options: 1. ask the client to extend the arms. 2. instruct the client to lean forward. 3. ask the client to dorsiflex the calf. 4. measure the clients abdominal girth.

Explanation:

Asterixis is a tremor of the out - stretched hands. To verify the presence of asterixis, asking the client to extend the arms allows the nurse to observe for the characteristic tremor. Leaning forward, dorsiflexing the calf, or measuring abdominal girth are not relevant actions for detecting asterixis.

Answer:

1. Ask the client to extend the arms.