the nurse documents that the client is exhibiting negative symptoms of schizophrenia when observing the client doing what? select all that apply.

When caring for a client with a neurologic disorder, one nursing assessment that is most helpful in determining subtle changes in the client's level of consciousness is the Glasgow Coma Scale (GCS).

The GCS is a standardized tool used to assess the client's level of consciousness based on eye opening, verbal response, and motor response. The GCS is useful in detecting subtle changes in the client's level of consciousness, as it allows for the documentation of small changes in the client's responsiveness.

The nurse can perform the GCS assessment regularly to monitor the client's neurological status and detect any changes that may require intervention. In addition to the GCS, other nursing assessments that can be helpful in determining subtle changes in the client's level of consciousness include monitoring vital signs.

By regularly monitoring the client's neurological status using these assessments, the nurse can detect subtle changes early and intervene promptly to prevent further deterioration.

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Based on the nurse's assessment of condition and stability, the client who would require immediate care would be the one with the most unstable condition or a life-threatening emergency.

This may include clients who are experiencing respiratory distress, cardiac arrest, severe bleeding, seizures, or altered levels of consciousness.The nurse would prioritize the client's care based on the urgency of their condition and the potential for harm or deterioration.

Immediate interventions may include calling for emergency assistance, administering life-saving measures such as CPR or oxygen therapy, stabilizing vital signs, and addressing any immediate threats to the client's safety or well-being. The nurse must act quickly and efficiently to ensure the best possible outcome for the client.

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A client complains of persistent flatulence after every meal, and simethicone is suggested as a remedy. The customer queries the medication's side effects. It has no known negative effects, according to the healthcare provider.

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The nurse is teaching a client with constipation to increase dietary fiber intake to 25 g/day. The recommendation would the nurse is eat more of the following high-fiber foods.

Consuming an adequate amount of dietary fiber can help prevent constipation, diverticulosis, colon cancer, and other gastrointestinal disorders. There are two types of fiber: insoluble fiber and soluble fiber.Insoluble fiber: Insoluble fiber adds bulk to stool, which helps keep it moving through the intestines. Foods rich in insoluble fiber include whole grains, beans, and vegetables.

Soluble fiber slows down digestion, which can help regulate blood sugar levels. Foods rich in soluble fiber include fruits, vegetables, and nuts. In summary, the nurse should suggest that the client increase their dietary fiber intake to 25g/day by eating more high-fiber foods like whole grains, beans, fruits, vegetables, nuts, and seeds.

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St. John's Wort is a supplement that has the most significant risk of adverse interactions with medication.

It is commonly used to treat depression, anxiety, and sleep disorders. However, it can interact with several medications, including antidepressants, birth control pills, blood thinners, and immunosuppressants.

St. John's Wort can increase or decrease the effectiveness of these medications, leading to potentially harmful side effects.

For example, St. John's Wort can reduce the effectiveness of birth control pills, leading to unintended pregnancy. It can also increase the risk of bleeding when taken with blood thinners. Therefore, it is crucial to inform your healthcare provider about all supplements and medications you are taking to avoid harmful interactions.

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Mescaline is not in the opioid family of drugs.

Opioids are a group of drugs that act on the nervous system to produce pain relief and feelings of euphoria. The other drugs mentioned - meperidine, methadone, and morphine - are all opioids.
Mescaline is a hallucinogenic drug found in some cacti species. It produces altered states of consciousness and visual, auditory, and tactile hallucinations. Mescaline does not interact with opioid receptors in the brain, and so it is not an opioid.
Opioids are often used to treat acute and chronic pain, while hallucinogens like mescaline are generally only used recreationally and not prescribed by doctors. Opioids are highly addictive and can lead to dangerous side effects, whereas mescaline is not considered to be physically addictive and has relatively mild side effects.

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The nurse will assess for thrombophlebitis if a 78-year-old patient with a new right long leg cast exhibits bilateral pedal edema. the answer is option D (thrombophlebitis).

Thrombophlebitis is a blood clot that develops in a vein near the skin's surface. It's usually caused by an injury or an infection in a vein near the skin's surface. Thrombophlebitis occurs mostly in the leg and can cause pain and swelling. It can also lead to serious health problems if left untreated. When there is fluid buildup in both legs, it is referred to as bilateral pedal edema. It can be caused by a variety of factors, including heart disease, kidney disease, and liver disease.

However, it can also occur due to standing or sitting for an extended period of time, which causes fluid to accumulate in the lower legs. The nurse will examine for thrombophlebitis if a 78-year-old patient with a new right long leg cast displays bilateral pedal edema.

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When a client diagnosed with schizophrenia talks about being controlled by others, the nurse should take action to assess the situation and the client's needs.

The nurse should assess the level of risk and the client's current emotional and mental state. The nurse should also provide a safe and supportive environment where the client can express their feelings and provide support while understanding that the client is not in control of their own thoughts or feelings. The nurse should also take appropriate steps to provide medical intervention if needed.

In addition, the nurse should discuss the feelings and thoughts with the client and provide a space for the client to process the experience. The nurse should ensure the client is in a safe environment, and offer education and resources regarding schizophrenia and how to cope with the symptoms. The nurse should encourage the client to reach out to their support system and to seek help from mental health professionals if needed.

Overall, the nurse should provide support and resources to the client, while recognizing the client's autonomy and validating their experience. The nurse should be aware of the signs of psychosis and take action accordingly to help the client cope with the condition and take back control of their life.

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The interventions for a child undergoing an exercise stress test include monitoring vital signs at the start and completion of the test, providing safety precautions, and reminding the child to verbalize any feelings of discomfort during the test.

Exercise stress tests are tests used to determine how well the heart is working during physical activity. They involve monitoring the heart's electrical activity, blood pressure, and breathing rate during a period of exercise. The purpose of an exercise stress test is to detect any potential problems with the heart or lungs, such as blockages, artery disease, and other cardiac abnormalities. It can also be used to assess an individual's fitness level and make recommendations for lifestyle modifications.

An exercise stress test typically consists of walking on a treadmill or riding a stationary bike while the individual is monitored by medical personnel. The speed and incline of the treadmill or bike are gradually increased to raise the individual's heart rate.

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Imodium is contraindicated when diarrhoea is brought on by an infection, the medical professional responds.

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The nurse should offer the patient a dish of lemon gelatin. Since the patient has been NPO (nothing by mouth) due to nausea and vomiting caused by gastric irritation, it is important to start with a bland, easily digestible food option. The correct option is B

NPO stands for "nothing by mouth." It is a medical order that tells a patient to abstain from eating or drinking any food or liquids for a specified period.

It is an essential part of preparing for some medical procedures or surgeries, as well as treatment for certain medical conditions. Once the NPO order is lifted, patients can begin taking food and liquids orally.

So, The nurse should offer the patient a dish of lemon gelatin because it is clear and easy to digest. It will provide the necessary calories and fluid without putting the stomach at risk of further irritation.

Furthermore, lemon gelatin may be used to alleviate nausea because of its cool, soothing texture.

"a patient who has been npo during treatment for nausea and vomiting caused by gastric irritation is to start oral intake. which of these should the nurse offer to the patient? a. a glass of orange juice b. a dish of lemon gelatin c. a cup of coffee with cream d. a bowl of hot chicken broth"

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A nurse examining a patient with an abnormal growth on the shoulder would ask the following questions about allergies and medical history.

The nurse would ask these questions to examine possible causative factors, as various skin disorders and growths could be a result of hereditary factors, lifestyle choices, medication side effects, or exposure to toxins, radiation, or other chemicals. The nurse may need to refer the patient to a specialist to receive a proper diagnosis and treatment plan.

Example to examine possible causative factors abnormal growth:

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When a pregnant client is found to be anemic, the high-risk nutritional practice that must be assessed is their iron intake.

Iron is an essential nutrient that is needed to make hemoglobin, which carries oxygen in the blood. Pregnant women require more iron to support the growth and development of the fetus and the expansion of the mother's blood volume.

If a pregnant woman is anemic, it may indicate that she is not getting enough iron in her diet or that her body is not absorbing iron properly.

Therefore, it is important to assess her iron intake and determine if she needs to increase her intake through dietary changes or iron supplements. Failure to address iron deficiency anemia during pregnancy can lead to complications such as premature delivery, low birth weight, and maternal mortality.

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The next management is  to provide supportive care.

Supportive care is a critical component of medical management for patients with various health conditions. It involves providing interventions and measures aimed at relieving symptoms, managing complications, and improving the overall well-being of the patient.

Supportive care is often used in conjunction with other treatments and therapies to optimize patient outcomes and quality of life.

Supportive care can encompass a wide range of interventions depending on the specific needs of the patient and the nature of the condition being managed. Some common examples of supportive care measures include:

Symptom management: This involves addressing and managing the various symptoms that a patient may be experiencing, such as pain, nausea, vomiting, shortness of breath, fatigue, or insomnia.

Symptom management can involve the use of medications, physical interventions, or non-pharmacological approaches such as relaxation techniques, breathing exercises, or complementary therapies.

Nutritional support: Nutrition plays a crucial role in the overall health and well-being of patients. In some cases, patients may require special dietary considerations, such as a modified diet for certain medical conditions or assistance with feeding due to physical limitations.

Nutritional support may involve dietary modifications, supplements, or specialized feeding techniques, depending on the patient's needs.

This would include ensuring an open airway and providing oxygen support as needed. Vital signs should be monitored closely, and labs drawn as indicated to assess for electrolyte and metabolic disturbances.

Intravenous fluids should be administered if necessary, and activated charcoal may be considered to decrease absorption of the alprazolam.

If the patient is not responding to painful stimuli, they should be monitored for sedation and treated with a benzodiazepine antagonist if indicated.

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The nurse caring for a patient recovering from a myocardial infarction (MI) teaches that the best method to avoid the Valsalva maneuver during a bowel movement is slow, easy, and relaxed straining.

A myocardial infarction (MI) occurs when the blood supply to the heart muscle is disrupted, resulting in tissue damage. Heart disease can result in a myocardial infarction, which is sometimes known as a heart attack.

The Valsalva maneuver is a breathing technique that involves exhaling against a closed glottis. It is often used as a diagnostic tool to assess heart function or to help regulate heart rate. The Valsalva maneuver is also used during the act of defecation, and it is known as the "bearing down" effect.

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One appropriate rationale for prescribing a mucolytic for a patient diagnosed with chronic bronchitis is to help thin and loosen the excessive mucus that is often present in the airways, making it easier to cough up and clear from the lungs.

his can help to improve breathing and reduce symptoms such as coughing and wheezing.

Mucolytics work by breaking down the chemical bonds that hold mucus together, making it less viscous and easier to expectorate. Commonly prescribed mucolytics for chronic bronchitis include acetylcysteine, guaifenesin, and bromhexine.

It is important to note that mucolytics may not be appropriate for all patients with chronic bronchitis, and their use should be guided by a healthcare professional who takes into account the patient's individual symptoms, medical history, and other factors.

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The given statement is True because the BRM gene suppressed at the post-transcriptional level in various human cell lines is inducible by transient HDAC inhibitor treatment, which exhibits anti-oncogenic potential.

HDAC inhibitors are drugs that target proteins called histone deacetylases (HDACs), and when they are used, they can inhibit or suppress the expression of certain genes. This is why the BRM gene can be suppressed after HDAC inhibitor treatment.

HDAC inhibitors are effective for a variety of conditions, including cancer. In particular, they have been found to have anti-oncogenic potential, which means they can inhibit the growth of tumor cells. This is why the BRM gene can be suppressed by HDAC inhibitor treatment, as the inhibitor is able to inhibit the gene's expression.

In terms of how the HDAC inhibitor works, it binds to the HDAC proteins, preventing them from modifying the histones, which are proteins that help control gene expression. This means that the HDAC inhibitor can stop the BRM gene from being expressed.

In terms of its effectiveness in suppressing the BRM gene, studies have shown that it is very effective. This means that the BRM gene can be suppressed in a very short period of time when an HDAC inhibitor is used. This is why it is often used in cancer treatments, as it can be used to quickly suppress the expression of tumor-promoting genes.

Overall, HDAC inhibitors are very effective in suppressing the expression of the BRM gene, which can have anti-oncogenic potential. This is why the BRM gene is often inducible by transient HDAC inhibitor treatment, which can help suppress the growth of tumor cells.

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When planning care for a client with a newly placed urostomy, the nurse must address the following priority problems and provide interventions:

"he nurse is planning care for a client with a newly placed urostomy. for what priority problems will the nurse address and provide interventions? select all that apply".

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Answer:

The nurse would take the following steps in order to incorporate music therapy into a patient's care:

Step 1: Assessment of patient's need for music therapy. The nurse would first assess the patient's need for music therapy by evaluating the patient's current condition, medical history, and symptoms.

Step 2: Determine the type of music therapy that would be appropriate for the patient. After assessing the patient's needs, the nurse would determine the type of music therapy that would be appropriate for the patient. The nurse would consider the patient's preferences, interests, and goals.

Step 3: Develop a music therapy plan. After determining the type of music therapy that would be appropriate for the patient, the nurse would develop a music therapy plan. This would involve identifying goals for the therapy, selecting appropriate music, and planning for the delivery of the therapy.

Step 4: Implement the music therapy plan. After developing the music therapy plan, the nurse would implement the plan. This would involve delivering the therapy to the patient and monitoring the patient's response.

Step 5: Evaluate the effectiveness of the music therapy. After the therapy has been delivered, the nurse would evaluate its effectiveness. This would involve assessing the patient's response to the therapy and making any necessary adjustments to the plan.

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The fracture of the distal radius is also known as Colles' fracture.

The term "Colles" fracture is named after Abraham Colles, an Irish surgeon who first described the injury in 1814.The distal radius fracture is a common injury to the wrist. A fracture to the distal radius results in significant pain and loss of function. The bones in the wrist area are very small, and a fracture to one of these bones can cause a range of symptoms.

What is an external fixation device?

An external fixator is a device that is placed on the outside of the body to fix fractures or dislocations. It consists of metal rods and pins that are inserted into the bone to hold it in place. It is used to stabilize the bone, allowing it to heal properly.

The external fixator is usually used when a fracture is severe or the bones are displaced. It is also used in cases where the patient cannot tolerate surgery. The external fixator is usually removed after the bone has healed. Colles' fracture is a fracture of the distal radius, which is one of the most common types of fractures.

The fracture is caused by a fall onto an outstretched hand, resulting in the wrist being bent backwards. The fracture can also occur due to direct trauma or due to osteoporosis.

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The nurse is working with a child who is in a sickle cell crisis. Treatment and nursing care for this child include :

Sickle cell crisis is a debilitating medical condition that requires immediate medical attention to manage the symptoms, alleviate pain, and restore the patient's health. Treatment and nursing care for this child include the following actions:

Administering medications: During a sickle cell crisis, the patient requires medication to alleviate the symptoms and pain. As a result, the nurse must administer the medication as per the physician's orders.

Performing comprehensive health assessments: To determine the patient's condition and develop a customized treatment plan, the nurse must perform comprehensive health assessments.

Providing adequate hydration: Dehydration can worsen the sickle cell crisis symptoms, and the child must receive adequate hydration to manage the symptoms. As a result, the nurse must provide enough fluids to rehydrate the child and reduce the sickle cell crisis's severity.

Educating the child and their family: The nurse plays a crucial role in educating the child and their family about sickle cell disease and how to manage the symptoms effectively.

Administering Oxygen: A sickle cell crisis can cause low oxygen levels in the body, which can affect the patient's organs. As a result, the nurse must administer oxygen to the child to restore normal oxygen levels.

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The nurse will document the client's chest pain in the electronic health record by selecting all of the following options that apply:

The nurse will document the client's chest pain in the electronic health record by selecting all of the above options that apply. The nurse will ensure that the client's medical record contains accurate and complete information to ensure that the client receives appropriate medical care.

Electronic health records (EHRs) are digital versions of paper charts that are commonly used by healthcare providers. It contains medical information about an individual that can be shared with other healthcare providers involved in the patient's care.

EHRs can contain information such as medical history, medications, allergies, immunizations, laboratory test results, and radiology reports. It can improve patient care by ensuring that all healthcare providers have access to accurate and complete medical information about an individual.

"The nurse is caring for a client who has come to the emergency department reporting chest pain rated at 9 on a scale of 1 to 10. The pain shoots down the left arm and started 45 minutes ago. How will the nurse document this pain in the electronic health record? Select all that apply.

visceral referred acute"

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The medication indicated for a client in cardiogenic shock is an inotrope, such as dobutamine or dopamine.

An inotrope is a drug that increases the force of contraction of the heart muscle, allowing it to maintain or increase cardiac output in the presence of heart failure or shock. Dobutamine and dopamine are two commonly used inotropes that can be given to a client in cardiogenic shock. They work by increasing the heart rate and force of contraction, improving cardiac output and systemic perfusion. It is important to monitor the client's response to the inotrope and adjust the dose as needed.

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When a client has end-stage acquired immunodeficiency syndrome (AIDS), the nurse should concentrate on preventing the spread of the cryptosporidium infection caused by the protozoa.

The best approach to assist the client is to maintain meticulous personal hygiene to avoid spreading the infection to other individuals. In the plan of care, the nurse should include meticulous hand hygiene, disinfection of surfaces, and appropriate disposal of soiled items.

Along with that, provide frequent oral hygiene and clean clothing, bed linens, and hospital equipment. This helps to prevent the transmission of the infection through contact or respiratory droplets.

Regular monitoring of the client's fluid intake and nutritional status is crucial as diarrhea or vomiting could lead to dehydration, resulting in electrolyte imbalances or nutritional deficiencies.

Additionally, pharmacologic management could include antimicrobial therapy, antidiarrheals, and antispasmodics to relieve symptoms. Furthermore, the nurse must educate the client and their family about the infection's symptoms, transmission routes, and the significance of personal and environmental hygiene in preventing the spread of the infection.



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The nurse would expect to administer nonsteroidal anti-inflammatory drugs, penicillin, and corticosteroids for a child with acute rheumatic fever if ordered.

Rheumatic fever is an inflammatory disorder that is triggered by a bacterial infection, usually Streptococcus bacteria. It can affect the heart, joints, skin, and brain. Symptoms typically include fever, joint pain, rash, and weakness.

If left untreated, it can lead to complications like heart disease, chronic joint damage, and disability. Treatment includes antibiotics, rest, and anti-inflammatory medications to reduce pain and swelling. To reduce the risk of rheumatic fever, it is important to practice good hygiene and receive prompt treatment for any bacterial infections.

Your question seems incomplete. The completed version should be as follows:

The nurse is implementing the plan of care for a child with acute rheumatic fever. What treatments would the nurse expect to administer if ordered? Select all that apply.

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The assessment by the intrapartum nurse that is most important to rule out cord compression or umbilical cord prolapse is fetal heart rate (FHR).

When the nurse-midwife performs an amniotomy (AROM), it may indicate that the delivery is near. This implies that there is a need to monitor the fetal heart rate (FHR) to avoid any complications due to cord compression or umbilical cord prolapse. FHR is usually measured before and after the AROM procedure is performed. AROM is a procedure used by midwives and doctors to induce labor.

The membranes around the baby are broken by the procedure. This is accomplished using a tiny, hooked device that is inserted through the vagina to puncture the sac. This causes the amniotic fluid to leak out. The fetus is no longer cushioned by the fluid and will begin to put pressure on the cervix as a result.The FHR is the number of heartbeats per minute that a fetus has. It's measured by listening to the fetal heart with a hand-held Doppler ultrasound. Fetal heart rate monitoring is crucial after the amniotomy, particularly to detect cord prolapse or cord compression.

Cord prolapse and compression can be dangerous and can cause complications for the baby, like hypoxia, which may lead to cerebral palsy, developmental delays, or even death.

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The immune abnormalities characterized by SLE are: the production of autoantibodies, activation of the complement system, B and T cell activation, and increased cytokine production.

Systemic lupus erythematosus (SLE) is an autoimmune disease that causes the body's immune system to become overactive and attack healthy cells, tissues, and organs. The immune abnormalities characterized by SLE include the production of autoantibodies, activation of the complement system, B and T cell activation, and increased cytokine production.

Autoantibodies are antibodies directed against the body's own proteins or tissues, and in the case of SLE, they are typically directed against proteins in the cell nucleus (e.g. DNA and histones). The complement system is an immune system component that facilitates the destruction of pathogens by opsonization and direct lysis.

B and T cells are two types of lymphocytes that play an important role in cell-mediated immunity. Lastly, cytokines are molecules released by certain cells of the immune system to regulate the activity of other immune cells.

In summary, the immune abnormalities associated with SLE include autoantibody production, activation of the complement system, B and T cell activation, and increased cytokine production.

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A risk factor for cleft lip and palate is genetics, meaning if there is a family history of cleft lip or palate in the child's family, then they may be at a higher risk of developing this condition.

Cleft lip is a birth defect that happens when the tissues that form the upper lip do not join together properly. It can also involve the roof of the mouth and other parts of the face. This can occur due to genetic factors or environmental influences, such as smoking or drinking during pregnancy.

Cleft palate is a birth defect in which a part of the roof of the mouth opens up crookedly. This can be corrected with surgery after babies are about 6 to 12 months old.

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The nurse should instruct the assistive personnel (AP) on how to provide care to a client who has been admitted to the Emergency Department (ED) with a pustular rash related to secondary syphilis.

Instructions such as Providing the client with a private room, and implementing isolation procedures based on the suspected mode of transmission, if indicated. Use standard precautions at all times, regardless of the mode of transmission suspected or confirmed.

Wear gloves and a gown when providing direct patient care, as well as a mask and eye protection if splashing or spraying of blood or body fluids is expected. Follow hand hygiene procedures to ensure that hands are clean before and after contact with the client and their environment.

Notify the registered nurse (RN) of any changes in the client's condition, such as increased fever, pulse, or respiratory rate, or a decrease in urine output. Report any adverse reactions to medications that the client may have, as well as any problems with eating or drinking.

Perform client care, such as skin care, toileting, and feeding, according to the nursing care plan. To reduce the spread of infection, ensure that client care items are cleaned and disinfected before and after use.

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The nurse obtains a history from a client suspected of having cirrhosis. The statement made by the client to the nurse which the nurse should recognize as most directly related to a client's development of cirrhosis is C. "I have been drinking about a fifth of vodka a day for the last few months."

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