This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Medicine
[{'content': 'For a client in hepatic coma, which outcome would be the most appropriate? \nSelect and explain. \nA. The client is oriented to time, place, and person., B. The client exhibits no ecchymotic areas., C. \\ The client increases oral intake to 2,000 calories/day., D. The client exhibits increased serum albumin level.', 'role': 'user'}, {'content': 'Answer: A \nExplanation: 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. \nEcchymotic areas are related to decreased synthesis of clotting\xa0factors. Although oral intake may be related to the level of consciousness, it is more closely related to anorexia. \nThe serum albumin level reflects hepatic synthetic ability, not level of consciousness.', 'role': 'assistant'}]