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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
Avoiding all physical activities is not recommended. Moderate physical activity can actually help improve circulation and fluid balance in the body.
Choice B reason:
This statement is correct. Limiting salt intake in the diet can help reduce fluid retention in clients with ascites, as excess sodium can contribute to fluid accumulation.
Choice C reason:
Increasing fluid intake may worsen fluid retention in clients with ascites. Clients with this condition should follow their healthcare provider's recommendations for fluid restriction.
Choice D reason:
A high-protein diet is not specifically indicated to promote reabsorption of fluid in the abdomen. It is essential for clients with cirrhosis and ascites to follow a balanced diet that meets their individual nutritional needs.
Correct Answer is C
Explanation
Choice A reason:
Increased urine output and dehydration are not early signs of ascites progression. Ascites involves fluid accumulation in the abdominal cavity, not fluid loss through the urinary system.
Choice B reason:
Weight loss and decreased abdominal girth are not early signs of ascites progression. Ascites typically leads to increased abdominal girth and swelling.
Choice C reason:
This statement is correct. Visible abdominal swelling and distention are early signs of ascites progression. As fluid accumulates in the abdominal cavity, the abdomen may become visibly swollen and distended.
Choice D reason:
Reduced ankle edema and lower extremity swelling are not early signs of ascites progression. Ascites primarily affects the abdominal cavity, not the extremities.
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