A Nurse Is Caring for a Client with End-Stage Liver

Multiple Choice

A nurse is caring for a client with end-stage liver disease. Which alterations should the nurse anticipate with this client? Select all that apply.

A) Elevated serum albumin levels due to increased protein synthesis
B) Decreased clotting factor levels due to impaired clotting factor production
C) Hyperglycemia due to disrupted glucose metabolism
D) Increased serum vitamin K due to impaired clearance of fat-soluble vitamins
E) Increased plasma oncotic pressure due to impaired protein metabolism