M-50. The nurse is caring for a client with liver cirrhosis who was admitted for cellulitis of the leg. Which assessments would the nurse perform to determine if the client's condition has progressed to hepatic encephalopathy? Select all that apply.
A.
Ask if the client knows what day it is
B.
Ask the client to extend the arms
C.
Assess for telangiectasia (spider nevi)
D.
Determine if the conjunctiva is jaundiced
E.
Note amylase and lipase serum levels