A client with hepatitis C asks the nurse about the risk of developing ascites. Which of the following factors related to hepatitis C may increase the client's likelihood of developing ascites?
Elevated blood glucose levels and insulin resistance.
Impaired blood clotting and increased bleeding tendencies.
Altered immune response and increased infection risk.
Liver inflammation and fibrosis leading to cirrhosis.
The Correct Answer is D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
Hypoglycemia and confusion are not commonly associated with spironolactone use. They are unrelated to this medication.
Choice B reason:
This statement is correct. Spironolactone is a potassium-sparing diuretic, and one of its potential complications is hyperkalemia (elevated potassium levels). Hyperkalemia can lead to irregular heart rhythms and other serious cardiac problems.
Choice C reason:
Hypotension and dizziness may be potential side effects of certain diuretics but are not specific to spironolactone use.
Choice D reason:
Hypernatremia (elevated sodium levels) and increased thirst are not typically associated with spironolactone use.
Correct Answer is C
Explanation
Choice A reason:
Pleural effusion is fluid accumulation in the pleural cavity (around the lungs), and it can be associated with ascites, but it is not the specific complication described in the scenario.
Choice B reason:
Pneumonia is a lung infection and is not directly related to the difficulty breathing and increased respiratory rate described in the client with ascites.
Choice C reason:
This statement is correct. Pulmonary edema is a potential complication of ascites in which excess fluid accumulates in the lungs, leading to difficulty breathing and an increased respiratory rate.
Choice D reason:
Atelectasis is the collapse of part or all of a lung, and while it can be associated with difficulty breathing, it is not directly related to ascites.
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