A client with chronic alcohol abuse is at risk of developing ascites. The nurse explains that excessive alcohol consumption can contribute to ascites primarily by causing:
Kidney failure and fluid imbalance.
Increased bile production and obstruction.
Liver damage and impaired fluid regulation.
Heart failure and cardiac fluid overload.
The Correct Answer is C
Choice A reason:
Excessive alcohol consumption can contribute to kidney damage, but it is not the primary cause of ascites in individuals with chronic alcohol abuse.
Choice B reason:
Increased bile production and obstruction are not directly related to the development of ascites in clients with alcohol abuse.
Choice C reason:
This statement is correct. Chronic alcohol abuse can lead to liver damage, particularly cirrhosis, which impairs the liver's ability to regulate fluid balance, leading to ascites.
Choice D reason:
Heart failure can result in fluid overload, but it is not directly related to the development of ascites in individuals with alcohol abuse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
This statement is correct. Measuring abdominal girth and documenting findings are essential to monitor changes in fluid accumulation and assess the effectiveness of interventions.
Choice B reason:
Elevating the client's legs may help with edema in the lower extremities but will not directly address the fluid accumulation in the abdominal cavity.
Choice C reason:
Administering diuretics may be part of the management plan for ascites, but it may not be the initial intervention to address the client's current condition.
Choice D reason:
Applying an abdominal binder may be beneficial in certain cases, but it will not directly address the underlying cause of ascites or reduce fluid accumulation in the abdomen.
Correct Answer is D
Explanation
Choice A reason:
Elevated blood glucose levels and insulin resistance are not directly related to the development of ascites in clients with hepatitis C.
Choice B reason:
Impaired blood clotting and increased bleeding tendencies are not directly associated with the development of ascites in clients with hepatitis C.
Choice C reason:
Altered immune response and increased infection risk are not the primary factors contributing to ascites in clients with hepatitis C.
Choice D reason:
This statement is correct. Chronic hepatitis C infection can lead to liver inflammation and fibrosis, which, in turn, can progress to cirrhosis, increasing the risk of developing ascites.
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