Which of the following is a symptom that may occur later in the progression of cirrhosis?

The correct answer identifies reduced awareness as a symptom that may occur later in the progression of cirrhosis. As liver function deteriorates in cirrhosis, the liver becomes less efficient at detoxifying harmful substances in the blood. This can lead to a buildup of toxins, such as ammonia, which can affect brain function and result in hepatic encephalopathy. Symptoms of hepatic encephalopathy include confusion, altered level of consciousness, and reduced awareness. This symptom indicates a serious complication of liver disease and highlights how cirrhosis can significantly impair neurological function as it progresses.

In contrast, anemia, while a potential issue for those with chronic illness, is not typically a direct symptom of advanced cirrhosis itself. Increased stamina would not be expected in individuals suffering from the effects of liver disease, as fatigue is often a common symptom due to metabolic disturbances. Clear skin is also not associated with advanced liver disease, as various skin changes, including jaundice and spider angiomas, may occur due to liver dysfunction. Understanding these aspects can clarify how cirrhosis can impact multiple body systems over time.