A nurse is caring for a patient with esophageal surgery who has had stents placed in the esophagus and instructs the patient how best to avoid regurgitation. What should the nurse include in this instruction?

Lie on the right side after meals.

Eat only small meals.

Keep the bed flat.

Drink three glasses of fluid with each meal.

Answer and Explanation

The Correct Answer is B

A. Lie on the right side after meals: This position is not effective in reducing regurgitation. Lying on the left side or maintaining an upright position after eating is generally better for avoiding reflux.

B. Eat only small meals: Smaller meals reduce the risk of overfilling the stomach, which helps minimize regurgitation and pressure on the esophageal stent.

C. Keep the bed flat: Keeping the bed flat increases the risk of regurgitation by allowing stomach contents to flow backward into the esophagus.

D. Drink three glasses of fluid with each meal: Excessive fluid during meals may increase stomach volume and the risk of regurgitation.

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Correct Answer is A

Explanation

A. Decrease the client's fluid intake: In cirrhosis with ascites, the liver's ability to regulate fluid balance is impaired. Decreasing fluid intake helps prevent further accumulation of fluid in the abdomen (ascites).

B. Increase the client's sodium intake: Sodium intake should be restricted in patients with cirrhosis and ascites to reduce fluid retention and prevent worsening edema and ascites.

C. Decrease the client's carbohydrate intake: Carbohydrate intake is generally not restricted in cirrhosis unless there are concerns about hyperglycemia. It's important to maintain an adequate diet for the patient.

D. Increase the client's saturated fat intake: Increasing saturated fats is not appropriate in cirrhosis, as it can worsen liver damage and contribute to further complications. A balanced, low-fat diet is recommended instead.

A. Respiratory distress B. Muscle cramps C. Headache D. Bleeding

Correct Answer is D

Explanation

A. Respiratory distress: Respiratory distress is not a common complication immediately following a liver biopsy.

B. Muscle cramps: Muscle cramps are not directly associated with liver biopsy complications.

C. Headache: Headaches are not typically a complication after a liver biopsy unless they result from other factors like anxiety or pain.

D. Bleeding: Bleeding is the most common and serious complication following a liver biopsy due to the liver's highly vascular nature.

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A nurse is caring for a patient with esophageal surgery who has had stents placed in the esophagus and instructs the patient how best to avoid regurgitation. What should the nurse include in this instruction?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a client who has cirrhosis and ascites. Which of the following interventions should the nurse recommend for inclusion in the plan of care?

Correct Answer is A

Explanation

For which complication should a nurse be careful to monitor a patient after a liver biopsy?

Correct Answer is D

Explanation

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