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?
Encouraging the client to lie flat in bed to reduce pressure on the abdomen.
Administering laxatives to promote bowel movements and relieve bloating.
Assisting the client with regular and gentle ambulation to facilitate fluid movement.
Applying cold packs to the abdomen to reduce inflammation and swelling.
The Correct Answer is C
Choice A reason:
Encouraging the client to lie flat in bed may worsen abdominal distention and discomfort. It is better to promote positions that facilitate fluid drainage, such as elevating the head of the bed or placing the client in a side-lying position.
Choice B reason:
Administering laxatives may not be appropriate for ascites management and could lead to electrolyte imbalances. It is essential to manage bowel movements cautiously, considering the client's fluid and electrolyte status.
Choice C reason:
This statement is correct. Assisting the client with regular and gentle ambulation can help facilitate fluid movement and reduce abdominal distention. Movement helps stimulate peristalsis and may improve drainage of fluid from the abdominal cavity.
Choice D reason:
Applying cold packs to the abdomen may provide temporary relief for localized pain but will not directly address the underlying issue of ascites or reduce abdominal distention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
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.
Correct Answer is C
Explanation
Choice A reason:
Coughing and wheezing during physical activity are typical symptoms of congestive heart failure (CHF), but they do not directly indicate the presence of ascites.
Choice B reason:
Rapid and irregular heart rate at rest is a common manifestation of congestive heart failure (CHF) but does not directly indicate the presence of ascites.
Choice C reason:
This statement is correct. Ascites is characterized by the accumulation of fluid in the abdominal cavity, leading to swelling and distention in the lower abdomen.
Choice D reason:
Cold and clammy extremities are not typical manifestations of ascites and are not directly related to fluid overload in congestive heart failure (CHF).
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