You are completing an assessment of a client with end stage liver disease. which of the following findings is most important to notify to the physician?
a. expanding ecchymosis
b. ascites and a serum albumin of 3.2g/dl
c. hct of 37% and a hgb of 12g/dl
d. occasional disorientation and forgetfulness

A. Expanding ecchymosis

Explanation:

Terminal liver disease occurs when the liver cannot effectively participate in the body's detoxification process and all other metabolism functions and can cause signs and symptoms such as jaundice, swelling or even brain damage. This disease is the most serious consequence of chronic liver disease and can lead to death if a transplant is not performed.

Some situations may aggravate the patient's condition and therefore should be notified to the attending physician promptly. One such situation is the expansion of bruise. Bruise is a subcutaneous bleeding that can cause a major problem in patients with end-stage liver disease.