A nurse is amending a client's plan of care in light of the fact that the client has recently developed ascites. What should the nurse include in this client's care plan?
Mobilization with assistance at least 4 times daily
Administration of beta-adrenergic blockers as prescribed
Vitamin B12 injections as prescribed
Administration of diuretics as prescribed
The Correct Answer is D
A. Mobilization is important but not the primary intervention for ascites.
B. Beta-blockers are used to manage portal hypertension but are not the first priority in ascites management.
C. Vitamin B12 injections are unrelated to ascites.
D. Diuretics help reduce fluid accumulation by promoting sodium and water excretion, which is essential in managing ascites.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Calcium levels are often decreased in acute pancreatitis due to fat necrosis and calcium binding within the inflamed pancreas.
B. RBC count is not typically elevated in pancreatitis and is not a key diagnostic indicator.
C. Magnesium may be normal or decreased, but it is not a hallmark finding in pancreatitis.
D. Amylase is a digestive enzyme produced by the pancreas, and its levels rise significantly during acute pancreatitis, making it a primary diagnostic marker.
Correct Answer is A
Explanation
A. Fall-prevention measures (such as ensuring a clutter-free environment, using nonslip footwear, and keeping items within reach) are the most effective and practical first-line approach to reducing injury risk in clients with muscle weakness due to Cushing syndrome.
B. While rest may be needed, prolonged bed rest can worsen deconditioning and increase other risks such as thromboembolism.
C. Assistive devices may be helpful but are part of a fall-prevention strategy, not a complete solution.
D. Constant supervision is not always feasible and should be reserved for clients with significant cognitive or physical impairments.
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