Physiological AdaptationQuestion 104 of 120
A client with cirrhosis develops confusion and asterixis. Which laboratory value best explains these findings?
a.Decreased serum glucose
b.Elevated serum calcium
c.Decreased white blood cell count
d.Elevated serum ammonia
Explanation
Impaired liver function raises serum ammonia, causing hepatic encephalopathy with confusion and asterixis. Treatment such as lactulose lowers ammonia levels.
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