A nurse is planning care for a client who has cirrhosis and ascites.
Which of the following interventions should the nurse include in the plan of care?

Choice A rationale
Diabetes mellitus is a risk factor for urinary tract infections (UTIs). High blood sugar levels can impair the immune system, making it harder for the body to fight off infections. Additionally, diabetes can cause nerve damage that affects the bladder’s ability to empty completely, allowing bacteria to grow.
Choice B rationale
Anemia itself is not a direct risk factor for UTIs. Anemia is a condition characterized by a lack of healthy red blood cells or hemoglobin, which does not contribute to the development of UTIs.
Choice C rationale
Chronic Obstructive Pulmonary Disease (COPD) primarily affects the lungs and does not increase the risk of UTIs. COPD can make it harder to breathe, but it does not have a direct impact on the urinary system.

Choice D rationale
Osteoporosis is a condition that weakens bones, making them fragile and more likely to break. It does not increase the risk of UTIs. Osteoporosis and UTIs are not directly related as they affect different systems within the body.

Choice A rationale

While a 25-year-old planning to lose 20 pounds after childbirth may have increased nutritional needs, they would not typically be considered at higher risk for malnutrition unless there were other factors such as inadequate diet or certain health conditions.
Choice B rationale
A 65-year-old who recently underwent hernia surgery might have temporary changes in diet or appetite related to the surgery, but would not typically be at high risk for malnutrition unless there were other ongoing issues such as poor diet, difficulty eating, or a chronic health condition.
Choice C rationale
A 70-year-old who has been fasting since midnight in preparation for a colonoscopy would not typically be at risk for malnutrition from this short-term fast. However, if they had ongoing issues with diet, appetite, or a chronic health condition, they could potentially be at risk.
Choice D rationale
A 55-year-old who has been consuming alcohol for 35 years is at higher risk for malnutrition. Alcohol can interfere with the body’s ability to absorb and use nutrients, and individuals with long-term heavy alcohol use may also have other lifestyle factors that increase their risk for malnutrition.