Page 1526 - Saunders Comprehensive Review For NCLEX-RN

FIG. 48-6 Eliciting asterixis (flapping tremor). Have the client extend the arm, dorsiflex
the wrist, and extend the fingers. Observe for rapid, nonrhythmic extensions and flexions.

FIG. 48-7 Surgical shunting diverts portal venous blood flow from the liver to decrease
portal and esophageal pressure.

Box 48-9
Stages and Assessment of Viral Hepatitis

Preicteric Stage
The first stage of hepatitis, preceding the appearance of jaundice; includes flu-like
symptoms—malaise, fatigue; anorexia, nausea, vomiting, diarrhea; pain—headache,
muscle aches, polyarthritis; and elevated serum bilirubin and enzyme levels.

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