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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Increased sleep may suggest persistent hypothyroidism or overtreatment leading to fatigue, not necessarily a sign of effective therapy.
B. A decrease in T₄ would indicate a worsening of hypothyroidism or inadequate dosing, not a therapeutic response.
C. Weight gain is a common symptom of untreated hypothyroidism; effective levothyroxine therapy should help normalize weight.
D. A decrease in TSH indicates that the body is receiving adequate thyroid hormone, suppressing the pituitary's signal for more, and is a primary marker of a therapeutic response to levothyroxine.

A. Establish fall-prevention measures. B. Encourage bed rest whenever possible. C. Encourage the use of assistive devices. D. Provide constant supervision.

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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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a client who has been on levothyroxine for several months. Which of the following findings indicates a therapeutic response to the medication?

Correct Answer is D

Explanation

The nurse providing care for a client with Cushing syndrome has identified the nursing diagnosis of risk for injury related to weakness. How should the nurse best reduce this risk?

Correct Answer is A

Explanation

List the 6 rights of medication administration.

While assessing a client's peripheral IV site, the nurse observes edema and coolness around the insertion site. How should the nurse document this observation?

A nurse is caring for a client with thyroid cancer who has undergone surgery, and a significant amount of parathyroid tissue has been removed. The nurse should prioritize what question when addressing potential complications?

A nurse is caring for a client with Cushing syndrome who has been hospitalized after a fall. The dietician works with the client to improve the patient's nutritional intake. What foods should a client with Cushing syndrome eat to optimize health? Select all that apply.

A nurse is providing discharge education to a client who has undergone a laparoscopic cholecystectomy. During the immediate recovery period, the nurse should recommend what foods?

The physician orders Lorabid 350 mg po for pneumonia. After reconstitution, the medication is available as 200 mg/5 mL. How many milliliters will the nurse administer? Round to tenths.

A nurse who provides care in a community clinic assesses a wide range of individuals. The nurse should identify which client as having the highest risk for chronic pancreatitis?