Question

The nurse is caring for a critically ill patient with end-stage liver disease. The nurse knows that the patient is at risk for hyperdynamic circulation and varices. Which of the following assessments would indicate a hyperdynamic status?

a.Jugular venous distension
b.Normal sinus rhythm on the cardiac monitor
c.Blood pressure of 180/90 mm Hg
d.Stools that are guaiac positive

Answer 1

A hyperdynamic status in a patient with end-stage liver disease would be indicated by a high blood pressure reading, specifically 180/90 mm Hg, due to hypervolemia and compromised colloid osmotic pressure.

Step-by-step explanation:

The nurse caring for a critically ill patient with end-stage liver disease and at risk for hyperdynamic circulation and varices would note that a hyperdynamic status is indicated by a blood pressure of 180/90 mm Hg. Hyperdynamic circulation is characterized by increased cardiac output and lower systemic vascular resistance, which can lead to high blood pressure levels. This state is often associated with conditions that involve hypervolemia, or an abnormally high level of fluid and blood in the body, a condition that can develop in liver disease due to the inability to synthesize albumin and subsequently maintain colloid osmotic pressure.