Establish liver cirrhosis as diagnosis for the client

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Reference no: EM133820015

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Name: Floyd Dunmire Age: 58 years Provider: N. Billows MD Allergies: NKA Code Status: Full Code Admit Wt: 228 lbs (103.4 kg) BMI: 30.1 Before answering this question, review the client's health information in the EHR. Identify cues that establish liver cirrhosis as a diagnosis for the client. Select to highlight. Nursing Assessment - 10/19 0715: Neuro/Cognitive: Alert, oriented x 4. Speech clear. Calm, cooperative with staff. Pupils 4 mm PERRLA bilaterally. GCS: 15 . Cardiovascular: S1/S2 sounds present. HR regular, even. +2 pitting edema from feet to thighs. +pedal pulses with doppler, +2 radial pulses. Respiratory: Dyspnea on exertion and with lying supine. Breathing nonlabored when sitting upright. Lung sounds diminished bilaterally. No cough. Gastrointestinal: BS present x 4 quadrants, normoactive. Abdomen soft, round, distended, non-tender. States abdomen is more distended than normal. Integumentary: Yellowing of sclera and skin. Skin turgor elastic. Skin warm, dry. Red/purple bruising noted from ankles to pretibial region. Lines/Drains: 20-gauge IV site in R hand. Patent, intact. Dressing clean, dry, intact.

Reference no: EM133820015

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