Question

question 20 of 20
a client has an elevated serum ammonia concentration and is exhibiting changes in mental
status. the nurse should suspect which condition?
asterixis
cirrhosis
portal hypertension
hepatic encephalopathy

Explanation:

Hepatic encephalopathy is a condition that occurs due to liver dysfunction, leading to elevated serum ammonia levels (as the liver can't properly detoxify ammonia) and changes in mental status (like confusion, altered consciousness). Asterixis is a sign (flapping tremor) of hepatic encephalopathy, not a condition to suspect. Cirrhosis is liver scarring, and portal hypertension is increased pressure in portal veins; while they can be related, the direct link with elevated ammonia and mental status changes points to hepatic encephalopathy.

Answer:

D. Hepatic encephalopathy