A client with chronic liver disease and ascites reports feeling fatigued and weak. The nurse should recognize these symptoms as potential manifestations of:
Electrolyte imbalances.
Iron deficiency anemia.
Hepatic encephalopathy.
Malnutrition.
The Correct Answer is D
Choice A reason:
Electrolyte imbalances can occur in clients with ascites, but they are not directly related to the symptoms of fatigue and weakness described by the client.
Choice B reason:
Iron deficiency anemia may be present in clients with chronic liver disease, but it is not the primary cause of the client's fatigue and weakness in this scenario.
Choice C reason:
Hepatic encephalopathy is a complication of liver disease, but it typically presents with neurological symptoms such as confusion, altered mental status, and behavior changes, not fatigue and weakness.
Choice D reason:
This statement is correct. Fatigue and weakness are common symptoms in clients with chronic liver disease and ascites, and they can be related to malnutrition, which is often seen in these clients due to poor appetite, nutrient malabsorption, and other factors related to liver dysfunction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
Coughing and wheezing during physical activity are typical symptoms of congestive heart failure (CHF), but they do not directly indicate the presence of ascites.
Choice B reason:
Rapid and irregular heart rate at rest is a common manifestation of congestive heart failure (CHF) but does not directly indicate the presence of ascites.
Choice C reason:
This statement is correct. Ascites is characterized by the accumulation of fluid in the abdominal cavity, leading to swelling and distention in the lower abdomen.
Choice D reason:
Cold and clammy extremities are not typical manifestations of ascites and are not directly related to fluid overload in congestive heart failure (CHF).
Correct Answer is C
Explanation
Choice A reason:
Elevated blood glucose levels are not typically associated with ascites. Ascites is primarily related to fluid accumulation in the abdominal cavity, not glucose levels.
Choice B reason:
Increased white blood cell count may indicate infection or inflammation but is not directly related to the presence of ascites.
Choice C reason:
This statement is correct. Low albumin levels are commonly associated with ascites. Albumin is a protein produced by the liver that helps maintain fluid balance in the body. In liver disease, albumin levels may decrease, leading to fluid retention and the development of ascites.
Choice D reason:
Elevated thyroid-stimulating hormone (TSH) is not directly related to the presence of ascites.
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