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."

Answer and Explanation

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 D

Explanation

Choice A reason:

Elevated blood glucose levels and insulin resistance are not directly related to the development of ascites in clients with hepatitis C.

Choice B reason:

Impaired blood clotting and increased bleeding tendencies are not directly associated with the development of ascites in clients with hepatitis C.

Choice C reason:

Altered immune response and increased infection risk are not the primary factors contributing to ascites in clients with hepatitis C.

Choice D reason:

This statement is correct. Chronic hepatitis C infection can lead to liver inflammation and fibrosis, which, in turn, can progress to cirrhosis, increasing the risk of developing ascites.

A. Muscle weakness and fatigue. B. Increased urine output and dehydration. C. Hypotension and dizziness. D. Hyperkalemia and irregular heart rhythms.

Correct Answer is D

Explanation

Choice A reason:

Muscle weakness and fatigue are not commonly associated with spironolactone use.

Choice B reason:

Increased urine output and dehydration may occur with diuretics, but spironolactone is a potassium-sparing diuretic, so excessive urine output and dehydration are less likely to occur with this medication.

Choice C reason:

Hypotension and dizziness are potential side effects of some diuretics, but they are not specific to spironolactone use.

Choice D reason:

This statement is correct. Spironolactone is a potassium-sparing diuretic, which means it can lead to hyperkalemia (elevated potassium levels) if not monitored carefully. Hyperkalemia can cause irregular heart rhythms and other serious complications.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with hepatitis C asks the nurse about the risk of developing ascites. Which of the following factors related to hepatitis C may increase the client's likelihood of developing ascites?

Correct Answer is D

Explanation

A client with ascites is prescribed spironolactone, a potassium-sparing diuretic. The nurse instructs the client to monitor for which of the following adverse effects while taking this medication?

Correct Answer is D

Explanation

A client with ascites is experiencing discomfort and difficulty breathing due to fluid accumulation in the abdomen. What intervention should the nurse prioritize to provide immediate relief to the client?

A client with ascites is experiencing respiratory distress and difficulty breathing. The nurse should prioritize which of the following nursing interventions?

A nurse is providing education to a client newly diagnosed with ascites. The client asks about the most common underlying cause of this condition. Which of the following responses by the nurse is accurate?

A client with liver cirrhosis and ascites is experiencing abdominal pain and discomfort. The nurse should recognize that this pain is primarily due to:

A nurse is assessing a client with suspected ascites. Which of the following findings would the nurse expect to observe during the physical examination?

A client with suspected ascites is scheduled for paracentesis. The nurse explains to the client that this procedure involves:

A nurse is providing care to a client with ascites. Which intervention is essential for the nurse to implement to promote comfort and reduce abdominal distention?

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?