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.
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Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
Choice A reason:
Increased urine output and dehydration are not early signs of ascites progression. Ascites involves fluid accumulation in the abdominal cavity, not fluid loss through the urinary system.
Choice B reason:
Weight loss and decreased abdominal girth are not early signs of ascites progression. Ascites typically leads to increased abdominal girth and swelling.
Choice C reason:
This statement is correct. Visible abdominal swelling and distention are early signs of ascites progression. As fluid accumulates in the abdominal cavity, the abdomen may become visibly swollen and distended.
Choice D reason:
Reduced ankle edema and lower extremity swelling are not early signs of ascites progression. Ascites primarily affects the abdominal cavity, not the extremities.
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