A client with cirrhosis and ascites is receiving medical treatment to manage the fluid accumulation. The client asks the nurse about lifestyle changes that may help improve the condition. Which of the following responses by the nurse is accurate?
"You should avoid all physical activities to prevent further fluid retention."
"Limiting salt intake in your diet can help reduce fluid retention."
"Increase your fluid intake to help flush out the excess fluid from your body."
"Consume a high-protein diet to promote the reabsorption of fluid in your abdomen."
The Correct Answer is B
Choice A reason:
Avoiding all physical activities is not recommended. Moderate physical activity can actually help improve circulation and fluid balance in the body.
Choice B reason:
This statement is correct. Limiting salt intake in the diet can help reduce fluid retention in clients with ascites, as excess sodium can contribute to fluid accumulation.
Choice C reason:
Increasing fluid intake may worsen fluid retention in clients with ascites. Clients with this condition should follow their healthcare provider's recommendations for fluid restriction.
Choice D reason:
A high-protein diet is not specifically indicated to promote reabsorption of fluid in the abdomen. It is essential for clients with cirrhosis and ascites to follow a balanced diet that meets their individual nutritional needs.
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Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
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.
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