A nurse is educating a client with cirrhosis about measures to prevent ascites exacerbation. Which of the following instructions should the nurse include in the teaching?
"Avoid consuming alcoholic beverages to prevent fluid accumulation."
"Increase your sodium intake to maintain proper fluid balance."
"Engage in strenuous physical activities regularly to reduce fluid retention."
"Consume a high-fat diet to promote liver function and prevent ascites."
The Correct Answer is A
Choice A reason:
This statement is correct. Avoiding alcoholic beverages is essential for clients with cirrhosis to prevent further liver damage and fluid accumulation leading to ascites.
Choice B reason:
Increasing sodium intake is not recommended for clients with ascites, as excess sodium can contribute to fluid retention.
Choice C reason:
Engaging in strenuous physical activities may not be appropriate for clients with cirrhosis and ascites, as excessive exertion can worsen fluid retention and increase the risk of complications.
Choice D reason:
A high-fat diet is not recommended for clients with cirrhosis and ascites. A balanced diet with appropriate protein and carbohydrate intake is more appropriate for managing this condition.
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Correct Answer is B
Explanation
Choice A reason:
Ascites is not caused by an infection in the abdominal cavity. It is the result of fluid accumulation.
Choice B reason:
This statement is correct. Ascites is caused by the accumulation of excess fluid in the abdominal cavity, usually due to liver disease or other conditions that affect fluid balance in the body.
Choice C reason:
Blockage in the bile ducts may cause jaundice or other symptoms but is not the primary cause of ascites.
Choice D reason:
Ascites is not a genetic disorder and is not inherited from one's parents. It is a condition that develops due to various underlying medical conditions.
Correct Answer is D
Explanation
Choice A reason:
Regulation of blood glucose levels is not a primary function of the kidneys in fluid balance. It is primarily related to the endocrine system and insulin regulation.
Choice B reason:
Maintenance of acid-base balance is a critical function of the kidneys but is not directly related to fluid balance leading to ascites.
Choice C reason:
Production of red blood cells occurs in the bone marrow, not the kidneys. While the kidneys produce erythropoietin, a hormone that stimulates red blood cell production, this is not the primary function related to fluid balance.
Choice D reason:
This statement is correct. The kidneys' primary function related to fluid balance is filtration and excretion of waste products and excess fluid, which helps maintain proper fluid balance in the body. In chronic kidney disease (CKD), impaired kidney function can lead to fluid retention and contribute to the development of ascites.
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