Familial hypercholesterolemia is characterized by extremely high levels of cholesterol in the blood, which results from a mutated gene.
Cholesterol is a steroid fat molecule that occurs naturally in the body. It is essential to the structure of all membranes and is used to synthesize steroid hormones. Certain fatty proteins or lipoproteins in the blood help to transport cholesterol. They are HDL (High Density Lipoprotein) or the 'good' cholesterol, and LDL (Low Density Lipoprotein) or the 'bad' cholesterol.
When excess LDL cholesterol builds up in the blood, it results in hypercholesterolemia. This increases the risk of coronary heart conditions. Anyone with unhealthy lifestyle choices can develop hypercholesterolemia, however when it has a genetic cause, it becomes familial hypercholesterolemia.
Familial hypercholesterolemia is a hereditary condition caused by a mutated gene. This mutated gene prevents the body from removing LDL cholesterol from the blood, leading to an excess build up and high levels of cholesterol. This condition cannot be cured, but with a combination of lifestyle changes and medication, it can be managed.
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the nurse is caring for a client who has been on bed rest. the primary care provider has just written a new prescription for the client to sit in the chair three times a day. which action will be most effective to transfer the client safely into the chair?
a nurse is asked to auscultate the fetal heart sounds in a pregnant client. which equipment is most appropriate when auscultating fetal heart sounds at the 12th week?
protano, c.; vitali, m. the new danger of thirdhand smoke: why passive smoking does not stop at secondhand smoke. environ. health perspect. 2011, 119, a422.
Secondhand smoke is described as "the combination of smoke exhaled by the smoker and smoke emitted from the burning end of a cigarette or other tobacco products" (World Health Organization 2007). So, unintentional inhalation of smoke that occurs close to smokers or in enclosed spaces where tobacco has recently been used constitutes secondhand smoke exposure.
Thirdhand smoke is a complicated phenomenon brought on by lingering tobacco smoke particles that stick to smokers' clothes and hair as well as to surfaces, furniture, and dust in enclosed spaces.These toxins continue to exist long after the odor of secondhand smoke has subsided. They either reemit into the gas phase or combine with oxidants or other substances in the environment to create secondary pollutants, some of which are hazardous to human health or carcinogenic (Matt et al. 2011). Thirdhand smoke exposure is thus defined as the inadvertent intake of tobacco smoke and other related substances that takes place in the absence of concurrent smoking and happens mostly by breathing, but also through ingestion and cutaneous routes. Through close contact with smokers and in settings where tobacco is frequently smoked indoors, exposure can occur even years after a person stops smoking.For studies analyzing passive smoking exposure in indoor settings, particularly in home settings, this terminology issue is of particular relevance. Since many nations have banned smoking in enclosed public spaces, residential settings have changed from being the primary sources of passive smoking exposure (World Health Organization 2007). When determining the extent of pollutant intake as a result of passive smoking exposure, we think researchers should take into account the separate contributions of secondhand and thirdhand smoke.To learn more about secondhand smoke visit:
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A practitioner order is written for an antiemetic medication to be given IV - 7.5 mg q 4 hrs prn N/V. This medication is available in a prefilled syringe labeled 10 mg/2 mL. How many milliliters should be given?
A sterile urine specimen for culture and sensitivity has been prescribed for a client who has an indwelling urinary catheter. how should the nurse obtain this specimen?
A sterile urine specimen for culture and sensitivity has been prescribed for a client who has an indwelling urinary catheter. The nurse should withdraw several milliliters of urine from the port on the collection tubing, using a syringe and needle.
What is the purpose of a urinary catheter?
Urine is collected in a drainage bag after the bladder is drained using a flexible tube known as a urinary catheter. A urinary catheter is often implanted by a physician or nurse.
Justification: When a urine sample from a patient with an indwelling catheter is required, it should always be obtained through the catheter's special specimen port. The drainage bag's urine sample could not be brand-new, which could result in a flawed study. It wouldn't be necessary to remove a client's catheter in order to take a urine sample.
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Question:
A sterile urine specimen for culture and sensitivity has been ordered for a client who has an indwelling urinary catheter. How should the nurse obtain this specimen?
- Discontinue the indwelling catheter and insert an intermittent catheter to obtain the sterile specimen
- Withdraw several milliliters of urine from the port on the collection tubing, using a syringe and needle
- Collect a urine specimen from the collection bag first thing in the morning, or a few hours after the client receives a diuretic
- Empty the collection bag, wait 30 minutes, and then collect the contents of the collection bag
if a fetus were not receiving enough oxygen during labor because of uteroplacental insufficiency, which pattern would the nurse anticipate seeing on the monitor?
Seeing on the monitor the nurse would anticipate fetal heart rate declining late with contractions and remaining depressed.
What is uteroplacental insufficiency?
A rare but significant pregnancy condition is placental insufficiency, also known as placental malfunction or uteroplacental vascular insufficiency. It happens when the placenta is injured or does not mature properly. A decrease in the mother's blood supply is a defining feature of this blood flow disease.
The fetal heart rate does not recover right away after a contraction because of inadequate placental filling, which limits blood flow to the fetus.
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If penalties are imposed only on the buyers of illegal drugs, the equilibrium price of illegal drugs will ________ and the equilibrium quantity will ________.
If penalties are imposed only on the buyers of illegal drugs, the equilibrium price of illegal drugs will _fall__ and the equilibrium quantity will ___decrease__.
How social grants could encourage teenagers to end up being parents before the right
Social grant is there to help folks, particularly the poor ones with kids, disabled and elderly.
The South African government has a program in place to assist those who are in need. In this situation, people who are poor and in need of assistance from the government may decide to choose a kid.
On the other side, the project is likely to be promoted by youngsters who had children at a young age but had no means of providing for them. Although having children at this age is not a smart decision, the grant is assisting the young parents with their needs and encouraging them to engage in these kinds of activities.
These social subsidies support a large number of people who live in poverty. These awards help recipients maintain a standard of living in the neighborhood.
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Question correction:
Explain how social grants could encourage teenagers to end up being parents before the right time.
Suppose a patient receives a drug and then presents with an adverse reaction. it is not clear whether the drug or some other condition caused the adverse reaction. the best practice is to ________.
When the patient receives a drug and then presents with an adverse reaction, the best practice would be to assume that the reaction is a result of the drug.
What are adverse reactions?An adverse drug reaction is described as "an interference related to the consumption of a medicinal product that results in a noticeably harmful or unpleasant reaction; adverse effects usually predict risk from prospective administration and justify preventative measures, or treatment available, or modification of the prescribed medication, or withdrawal of the product."
Since 2012, the phrase has included reactions occurring from error, misuse, or abuse along with anticipated reactions to medications that are not authorized or not being used as recommended. It also includes authorized usage of pharmaceuticals at the usual levels. The way we handle ADRs in clinical practise shouldn't be affected by this shift, despite the possibility that it will affect how medication producers and regulators track and control their products.
Therefore, in case of an allergic reaction, the best practice would be to assume that the reaction is a result of the drug.
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an athletic woman has just discovered she is 6 to 8 weeks' pregnant. from the list of her usual sports and activities, which activity(ies) should be discussed in further detail since it is contraindicated during pregnancy? select all that apply.
The complete question with options are:
Low-impact motions shorten the duration of the activity.
In all of the client's pre-pregnancy activities
calming pursuits like hot baths and jacuzzis
breathing and stretching drills, like yoga
Pregnancy is a time when physical activity and sports should be minimized, and risky workouts should be avoided.
What kind of activities should a pregnant lady avoid?
Any exercise that can result in even minor abdominal damage, including motions that are jarring or that include quick changes in direction. Activities that involve a lot of bouncing, skipping, or jumping. complete sit-ups, double leg raises, straight-leg toe touches, and deep knee bends. while stretching, bouncing.
Planks or pushups. pressure-intensive actions or workouts that strain your pelvic floor. classic sit-ups and crunches. Exercises that require you to hold your breath while lying on your back are included should be avoided.
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A 59-year-old patient arrives at the emergency department and with chest discomfort for the past 24 hours. An ecg reading shows a heart rate of 58, a regular rhythm with a normal qrs complex, and an inverted p wave on the fourth beat. Which conclusion can be made about the intrinsic pacemaker in this patient’s heart?.
Answer:
I think 45 if the heart rate was normal
which is the best strategy the nurse manager should include when working to reduce health care disparities in a medical-surgical unit? group of answer choices less diverse workforce authoritarian leadership increase interpreter availability annual staff training
the nurse is caring for a client at 8 weeks' gestation who states, "i did not plan for this right now and i am not happy or excited about this pregnancy. i am not sure what to do." which response by the nurse is best?
“During the first trimester, many women experience this.” Option B would be the best response by the nurse during this situation to handle the client about pregnancy.
Fetus during the First trimesterThe fetus grows out from a fertilized ovum to about 6 cm long at 12 weeks during the first trimester. Your baby’s heart begins to beat around the end of the first trimester, and the brain, stomach, and intestines are growing as well.
What is a pregnancy’s first trimester?These trimesters are used to categories the type of pregnancies the first trimester lasts from week one to week twelve.
The second trimester has been already set to be comprised from week 13 through the end of week 26. After this Week 27 takes upto the pregnancy by the end of the third trimester.
The eventual very essential period of growth of any unborn child happens during this first trimester itself and hence this phase is very important.
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Complete Question
The nurse is caring for a client at 8 weeks' gestation who states, "I did not plan for this right now and I am not happy or excited about this pregnancy. I am not sure what to do." Which response by the nurse is best?
A. "We can refer you to a clinic for potential termination if you desire."
B. "Many women feel this way during the first trimester."
C. "You will become excited and happy when you feel the baby move."
D. "Do not worry. Once you hold this baby, everything will be fine."
The cortical regions that are not directly involved in sensory or motor functions are known as.
TheThe cortical regions that are not directly involved in sensory or motor function are known as Cerebral cortex.
What regions in the cerebral cortex are known to be involved in movement?The motor regions of the cerebral cortex are located predominantly in the frontal lobe, anterior to the central sulcus.
The cerebral cortex of the brain has three regions of function, namely Sensory, motor and association areas.
This association area does not belong either of the primary sensory or motor regions since its function is associative.
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the registered nurse is caring for a client with a waist restraint. which tasks should the nurse delegate safely to the unlicensed assistive personnel (uap)? select all that apply.
The delegation that is not suitable may result in lawsuits against the nurse, sanctions, or license revocation.
To guarantee that there are sufficient resources to support, direct, and evaluate the activity, nurses must supervise UAPs while they complete these responsibilities. assessments that describe objectives, issues, and human reactions. Unlicensed assistive persons (UAP) can position patients, help with daily living activities, and help clients get out of bed or go to the bathroom. The RN is in charge of evaluating the patient and following the nursing process. Generally speaking, easy, commonplace activities like changing empty beds, monitoring patient ambulation, assisting with cleanliness, and feeding meals can be delegated. Work closely with the UAP or provide the care yourself if the patient is frail, severely obese, or recovering from surgery.
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which activity would the nurse recommend for a 6-year-old child who is hospitalized with nephrotic syndrome? select all that apply. one, some, or all responses may be correct.
A high proteinprotein diet should be offered, active play periods are permitted during remission.
Which is included in the diet of a child with minimal change nephrotic syndrome?The diet for a child with nephrotic syndrome may include limiting salt and fluids.
The following nursing interventions are used with children who have nephrotic syndrome: Monitoring fluid intake and output. Maintain accurate records of intake and output, weigh the child every day at the same time on the same scale while wearing the same clothes, and take a daily abdominal measurement at the umbilicus level.
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identify the systolic blood pressure threshold for withholding fibrinolytic therapy to otherwise eligible patients with acute ischemic stroke within what time frame
The cutoff for withholding fibrinolytic treatment from otherwise qualified individuals with acute ischemic stroke is 185 mm Hg for systolic blood pressure.
What is blood pressure?The force of moving blood exerted on blood vessel walls is known as blood pressure (BP).The heart pumps blood via the circulatory system, which causes the majority of this pressure.The pressure in the major arteries is referred to as "blood pressure" when used without further qualifier.In the cardiac cycle, blood pressure is often stated as the ratio of the systolic pressure (the maximum pressure during one pulse) to the diastolic pressure (the minimum pressure between two heartbeats).It is expressed as an increase in air pressure in millimetres of mercury (mmHg).To know more about blood pressure, refer to the following link:
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the nurse finds a client unresponsive in the hospital room and calls a cardiac arrest. which health care professionals will be responsible for an insertion of the endotracheal tube during the cardiac arrest? select all that apply.
Endotracheal intubation is commonly used by emergency medical services paramedics
Why do they intubate you after cardiac arrest?Intubation is necessary when your airway is blocked or damaged or you can't breathe spontaneously. Some common conditions that can lead to intubation include: Airway obstruction (something caught in the airway, blocking the flow of air). Cardiac arrest (sudden loss of heart function).
Emergency medical services paramedics in the advanced airway management of OHCA but numerous studies question its safety and effectiveness.
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the coach of a client in labor is holding the client's hand and appears to be intentionally applying pressure to the space between the first finger and thumb on the back of the hand. the nurse recognizes this as which form of therapy?
The coach of a client in labor is holding the client's hand and appears to be intentionally applying pressure to the space between the first finger and thumb on the back of the hand. The nurse recognizes this form of therapy as acupressure.
Acupressure therapy: what is it?
Acupressure practitioners apply pressure to acupoints on the body's meridians using their fingers, palms, elbows, or feet, as well as other objects or specific gadgets. Stretching or acupressure massage are occasionally used in conjunction with acupressure as well as other techniques.
Which conditions can acupressure treat?
Du's research indicates that acupuncture is most helpful in treating conditions that affect the neurological system, gastrointestinal tract, genitourinary system, muscles, bones, and skin, such as stroke, diarrhea, enteritis, dementia, and skin rashes.
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a low-risk client is in the active phase of labor. the nurse evaluates the fetal monitor strip at 10:00 a.m. and notes the following: moderate variability, fhr in the 130s, occasional accelerations, and no decelerations. at what time should the nurse reevaluate the fhr?
The nurse examines the fetal monitor strip and observes the following: moderate fluctuation, fhr in the 130s, infrequent accelerations, and no decelerations. The nurse should review the fhr at 10:30 a.m.
Fetal monitor strips
Standard (external) fetal monitor strips (also known as fetal monitoring strips) are little devices that are attached to the mother's stomach/'baby bump' to monitor the child's heartbeat. The fetal monitor strips accomplish this by capturing and tracking the baby's heart activity using Doppler ultrasound. Some fetal monitor strips will also keep a baseline for comparison, providing medical practitioners with extra information about the child's status. Internal monitor strips can also be used, but they must be properly dilated and attached to the child's head.
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a nurse is conducting an in-service program for staff nurses working in the labor and birth unit. the nurse is discussing ways to promote a positive birth outcome for the woman in labor. the nurse determines that additional teaching is necessary when the group identifies which measure?
The nurse determines additional teaching is necessary when the group itendies to allowing the woman time to be alone measure.
What can be the positive support for labour and birth unit?
An enjoyable birthing experience is encouraged by supportive relationships and not feeling alone. When a woman is alone, her level of worry and anxiety rise, making it harder for her to handle situations. The woman is better able to handle the difficulties of labor if she feels in control since control fosters self-confidence and self-esteem. Knowing what to expect from the process fosters teamwork, eases fear of the unknown, and boosts the woman's self-assurance in her ability to manage labor.
Due to their ability to reduce uterine blood flow and placental perfusion, catecholamines are released in reaction to worry and panic. Utilizing relaxation techniques can help a woman cope better with labor by lowering her worry and fear, which in turn helps to minimize catecholamine secretion.
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Ravon is deaf. He was born without the ability to hear, and has never experienced an auditory stimulus. When people write using "sound" type words like "loud," "soft," and "quiet," he sometimes has difficulty understanding what they are trying to convey. Ravon has ________ deafness.
Ravon is deaf. He was born without the ability to hear and has never experienced an auditory stimulus. When people write using "sound" type words like "loud," "soft," and "quiet," he sometimes has difficulty understanding what they are trying to convey. Ravon has congenital deafness.
In the field of medicine, congenital deafness is a kind of deafness in which the person has the inability to hear since birth. Such kind of deafness may occur due to genetic causes or non-genetic causes such as infection or premature babies. People with congenital deafness are unable to convert sound energy into the electrical energy of nerve impulses.
In the case above, Ravon is deaf since birth hence he has difficulty perceiving what people are trying to express when they write about a sound. As he has never sensed an auditory stimulus, he does not understand what loud, soft, or quiet noise is.
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a client is considering transfer into an extended-care facility. what services can the nurse educate the client about that will be provided in this setting? select all that apply.
Here are the services the nurse can educate the client:
Assistance with activities of daily livingAssistance for mental disabilityNonmedical care for chronic illnessA institution that offers subacute care and treats patients who need inpatient care but do not now require ongoing hospital services is referred to as an extended care facility. A unique part extended care facility is a section of a building that has extended care facility licensing.
This hospital accepts patients who need rehabilitation, convalescent or restorative treatment, or patients with terminal illnesses who need the highest level of nursing care. It is a facility dedicated to provide long-term medical, nursing, or custodial care for a person, such as throughout the course of a chronic illness, the recovery time following an acute sickness, or when suffering from a mental disability.
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the nurse is discussing a high fiber diet with a client. upon return demonstration, which menu planned by the client follows the high-fiber diet guidelines?
The nurse is discussing a high fiber diet with a client and upon return demonstration, Option B) cramping menu is planned.
What foods contain the most fiber?The Top 10 Fiber-Rich Foods
Any such type of bean related food such as Beans, Broccoli, lentils, and other beans are simple ways to get fiber into your diet through soups, stews, and salads.
These vegetables can also be labelled as the “fiber vegetable” along with berries, avocados, popcorn, whole grains, apples, and dried fruits.
What is a diet high in fiber?Instead of juicing, you should go for raw produce and consume their skins. Try eating the whole of buckwheat, whole wheat couscous or some items like quinoa, bulgur, wheat germ, chia seeds, hemp seeds, lentil pasta, and edamame pasta as provided alternatives to traditional sources of fiber.
Whole grains include popcorn. As a kind of low-fat alternative to butter, serve it as a snack.
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according to the myplate analysis report, empty calories should exceed no more than 362 calories for someone like miya. how many empty calories did miya consume on this 1-day menu?
Answer: 693.74
Explanation:
the nurse is caring for several clients assigned single rooms on a medical-surgical unit. in which client(s) can the nurse safely carry out hand hygiene using hand sanitizer instead of washing hands with soap and water? select all that apply.
These are the clients the nurse safely carry out hand hygiene using hand sanitizer instead of washing hands with soap and water:
The nurse is going from one room to another to introduce self at the start of the shift.The nurse has just completed documentation and is entering another client room.The nurse has entered the client room to adjust settings on the intravenous pump.There are significant distinctions between using hand sanitizer and washing hands with soap and water. While sanitizer works by eradicating certain bacteria on the skin, soap and water effectively clean hands of all types of germs. In many cases, alcohol-based hand sanitizers can significantly reduce the amount of germs, but only when used properly.
Certain types of bacteria, including pesticides and the norovirus, Cryptosporidium, and Clostridioides difficile, are easier to remove with soap and water than with hand sanitizers. Some nursing interventions don't call for the nurse to wash their hands often.
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Question correction:
The nurse is caring for several clients assigned single rooms on a medical-surgical unit. In which client(s) can the nurse safely carry out hand hygiene using hand sanitizer instead of washing hands soap and water? Select all that apply.
The nurse has assisted a client with changing and caring for a new colostomy.The nurse is going from one room to another to introduce self at the start of the shift.The nurse has just completed documentation and is entering another client room.The nurse is exiting a room after completed indwelling urinary catheter care.The nurse has entered the client room to adjust settings on the intravenous pump.When working with a client with post traumatic stress disorder (ptsd), who has frequent flashbacks, the nurse should include which intervention?
When working with a client with post traumatic stress disorder who has flashbacks the nurse should include exposure therapy. It help patients to face and control their fear.
This exposure therapy is used along with cognitive therapy. It helps the patients to face both situations and memories that frightened you so that you can learn to cope with the situations.
The main treatment for PTSD are medications and psychotherapy. In medication antidepressants are included which help in sadness, worry, anger and feelings. Cognitive restructuring is also helpful in PTSD.
Cognitive restructuring helps people to make sense of the bad memories. It helps the patients to face the reality.
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a nurse is conducting a seminar on basic nutrition and is teaching about the different groups of carbohydrates. which should the nurse identify as recommended sources of carbohydrates for managing diabetes?
Here are the recommended sources of carbohydrates for managing diabetes:
whole grainslegumeslow-fat milkThe fact that milk such as low-fat milk and other dairy products carry sugar in the form of lactose may confuse you. But because these foods include calcium and protein, they should be a part of a healthy diabetes diet.
In fact, a June 2018 BMJ report indicated that a diet high in fruits, vegetables, whole grains, legumes, nuts, and dairy are all essential components of a healthy diet in the management of diabetes. What do all of them share? Every one of these is a source of carbs.
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A nurse is preparing to administer medications. which patient would the nurse consider to have the greatest predisposition to an adverse reaction?
A thirty year old male with kidney disease would have the greatest predisposition to an adverse effect.
Because of potential excretion issues, the person with poor renal function will be at risk of having this medicine accumulate to a hazardous level. Cystitis is a bladder infection, not typically the source of excretion issues that could result in a negative drug reaction. A patient wouldn't be more likely to experience a negative drug reaction if they had a respiratory tract illness. Because medicines are neither metabolized or excreted through the lungs, having a respiratory tract infection would not put a patient at risk for experiencing an adverse reaction. Due to his age, a 9-year-old youngster would not have the "Greatest" tendency to an unfavorable reaction, nor would an ear infection increase his risk.
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The nurse is caring for a client with cirrhosis. which assessment findings indicate that the client has deficient vitamin k absorption caused by this hepatic diseas?
The nurse is caring for a client with cirrhosis. Purpura and petechiae findings indicate that the client has deficient vitamin k absorption caused by this hepatic disease.
Hepatic Disease- For instance, cirrhosis may prevent the liver from using vitamin K as it normally does to produce prothrombin (a clotting factor). As a result, the nurse has to be alert for any signs of bleeding, such purpura and petechiae. Fatigue and dyspnea are signs of anemia. Ascites and orthopnea have nothing to do with vitamin K absorption. Gynecomastia and diminished testicular size are brought on by the diseased liver's impaired estrogen metabolism..
Vitamin K- A fat-soluble vitamin, vitamin K influences bone and cardiovascular health as well as preventing clotting.
The given question is incomplete, find below the complete question,
Q. The nurse is caring for a client with cirrhosis. Which assessment findings indicate that the client has deficient vitamin K absorption caused by this hepatic disease?
a) Gynecomastia and testicular atrophy
b) Ascites and orthopnea
c) Purpura and petechiae
d) Dyspnea and fatigue
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