Physical examination and change in body weight are used to diagnose ascites, what other measurement is used?
Swelling of feet
Urine output
Abdominal girth
Chest circumference
The Correct Answer is C
Choice A reason: Swelling of the feet, or peripheral edema, can be associated with ascites, but it is not a primary measurement used to diagnose ascites. Peripheral edema can occur due to various conditions, including heart failure, kidney disease, and venous insufficiency. It does not specifically indicate the presence of ascites, which is the accumulation of fluid in the abdominal cavity.
Choice B reason: Urine output is an important measure of renal function and fluid balance but is not directly used to diagnose ascites. Changes in urine output can indicate kidney function and fluid status but do not specifically assess fluid accumulation in the abdomen.
Choice C reason: Abdominal girth measurement is a key method used to assess and monitor ascites. Measuring the circumference of the abdomen can help quantify the amount of fluid accumulation. An increase in abdominal girth over time is a strong indicator of ascites and can be used to track the progression or resolution of the condition. This method is simple, non-invasive, and effective in evaluating the severity of ascites.
Choice D reason: Chest circumference is not used to diagnose ascites. While changes in chest circumference can indicate respiratory or thoracic conditions, they do not provide information about fluid accumulation in the abdominal cavity. Ascites is specifically related to the abdomen, and measurements of abdominal girth are more relevant and informative in this context.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Polydipsia refers to excessive thirst, polyuria refers to frequent urination, polyphagia refers to increased hunger, weight loss often occurs despite an increased appetite, and fatigue is a common symptom due to the body's inability to properly use glucose for energy. These symptoms are classic early signs of type 1 diabetes and occur because the body cannot produce enough insulin to regulate blood sugar levels.
Choice B reason: While weakness, vomiting, hypotension, and mental confusion can be symptoms associated with diabetic ketoacidosis (a serious complication of diabetes), they are not typically the earliest signs of type 1 diabetes. These symptoms may develop later if diabetes is not managed properly.
Choice C reason: Recurrent infections, visual changes, and paresthesia can occur in individuals with diabetes, but they are more common in long-standing diabetes and are not the earliest signs. These symptoms result from chronic high blood sugar levels affecting various body systems.
Choice D reason: Vomiting, abdominal pain, sweet, fruity breath, dehydration, and Kussmaul breathing are symptoms of diabetic ketoacidosis (DKA), a severe and life-threatening complication of diabetes. While these symptoms can occur in individuals with type 1 diabetes, they are not the initial signs but rather indicators of an advanced and poorly controlled condition.
Correct Answer is C
Explanation
Choice A reason: Type 1 diabetes is not characterized by the stimulation of glucose production due to food intake and resulting in increased insulin production. This description is more relevant to normal metabolic processes rather than the pathophysiological mechanisms underlying type 1 diabetes.
Choice B reason: The pathophysiology of type 1 diabetes is not due to decreased production of releasing hormones by the hypothalamus. While hormonal regulation plays a role in overall endocrine function, type 1 diabetes specifically involves the pancreatic islet cells.
Choice C reason: Type 1 diabetes is an autoimmune disorder where the body's immune system attacks and destroys the insulin-producing beta cells in the pancreatic islets. This destruction leads to a deficiency of insulin, which is necessary for regulating blood glucose levels. As a result, individuals with type 1 diabetes must rely on exogenous insulin to manage their blood sugar levels.
Choice D reason: Insulin resistance, where insulin-sensitive tissues do not respond effectively to insulin, is a characteristic of type 2 diabetes, not type 1 diabetes. In type 1 diabetes, the issue is the lack of insulin production due to the destruction of the pancreatic islet cells.
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