A client with liver cirrhosis has developed ascites. Which nursing intervention is a priority for managing this complication?

Encouraging the client to increase protein intake.

Assisting the client with frequent ambulation.

Administering diuretics as prescribed by the healthcare provider.

Teaching the client deep breathing exercises.

Answer and Explanation

The Correct Answer is C

A) While adequate protein intake is important for overall health, encouraging the client to increase protein intake is not a priority in managing ascites. The priority is to address fluid retention through diuretic therapy.

B) While ambulation can be beneficial for clients with liver cirrhosis, it is not the priority for managing ascites. Diuretic therapy is more directly targeted at reducing fluid accumulation.

C) The priority nursing intervention for managing ascites in a client with liver cirrhosis is administering diuretics as prescribed by the healthcare provider. Diuretics help reduce fluid retention and alleviate the pressure caused by the accumulation of fluid in the abdomen. This intervention aims to improve the client's comfort and prevent the development of further complications associated with ascites.

D) Deep breathing exercises can be helpful for clients with liver cirrhosis, but they are not the priority for managing ascites. The focus should be on diuretic therapy and addressing the fluid retention in the abdomen.

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Correct Answer is C

Explanation

A) Transient elastography is not used to assess esophageal varices. Endoscopy is the primary method for diagnosing and grading the severity of esophageal varices in clients with liver cirrhosis.

B) Transient elastography is primarily used to assess the degree of liver fibrosis, not to evaluate liver function or enzyme levels. Liver function and enzyme levels are typically evaluated through blood tests, such as liver function tests (LFTs), which measure liver enzymes, bilirubin, albumin, and other markers of liver health and function.

C) Transient elastography is a non-invasive imaging technique used to assess liver stiffness, which correlates with the degree of fibrosis in the liver. It provides information about the presence and severity of liver fibrosis, aiding in the diagnosis and staging of liver cirrhosis.

D) Transient elastography is not used to identify hepatic encephalopathy. Hepatic encephalopathy is a neuropsychiatric complication of advanced liver disease, and its diagnosis is based on clinical assessment, mental status evaluation, and laboratory tests. Transient elastography is not involved in identifying or diagnosing hepatic encephalopathy.

A. Encouraging frequent ambulation and leg exercises. B. Applying cold packs to areas of potential bleeding. C. Using a soft-bristle toothbrush for oral care. D. Administering intramuscular injections cautiously.

Correct Answer is C

Explanation

A) While ambulation and leg exercises are essential for maintaining overall health, they are not directly related to preventing bleeding episodes in clients with liver cirrhosis. The risk of bleeding in these clients is primarily related to clotting factor synthesis impairment.

B) Applying cold packs can help reduce swelling and inflammation but may not be the most appropriate intervention for preventing bleeding episodes in clients with liver cirrhosis. Cold packs may have limited effectiveness in addressing the underlying clotting factor deficiency.

C) Clients with liver cirrhosis may experience impaired clotting due to decreased synthesis of clotting factors by the liver. To prevent bleeding episodes, using a soft-bristle toothbrush for oral care is essential. A soft-bristle toothbrush is gentler on the gums and oral tissues, reducing the risk of causing trauma or bleeding during oral hygiene practices.

D) While it is important to administer intramuscular injections cautiously in clients with clotting disorders, this intervention is not the most essential for preventing bleeding episodes. Clients with liver cirrhosis are at risk of bleeding primarily due to the liver's decreased synthesis of clotting factors, not necessarily due to intramuscular injections.

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A client with liver cirrhosis has developed ascites. Which nursing intervention is a priority for managing this complication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with liver cirrhosis has been referred for transient elastography. What is the primary purpose of this diagnostic test?

Correct Answer is C

Explanation

A client with liver cirrhosis is at risk of bleeding due to decreased synthesis of clotting factors. Which nursing intervention is essential in preventing bleeding episodes?

Correct Answer is C

Explanation

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A client with liver cirrhosis is found to have elevated iron levels in their blood. Which genetic disorder should the nurse suspect as a possible cause of these findings?

A client with liver cirrhosis has developed ascites. Which nursing intervention is a priority for managing this complication?

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A client with liver cirrhosis complains of difficulty sleeping at night due to frequent awakenings caused by shortness of breath. Which complication should the nurse suspect as the most likely cause of the client's symptom?

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A nurse is providing discharge teaching to a client with liver cirrhosis. Which dietary modification should the nurse recommend to the client?