system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
For a client in hepatic coma, which outcome would be the most appropriate?
assistant
The correct answer is  Hepatic coma is the most advanced stage of hepatic encephalopathy. As hepatic coma resolves, improvement in the client’s level of consciousness occurs. The client should be able to express orientation to time, place, and person. 
Ecchymotic areas are related to decreased synthesis of clotting factors. Although oral intake may be related to the level of consciousness, it is more closely related to anorexia. 
The serum albumin level reflects hepatic synthetic ability, not level of consciousness.