The nurse is admitting a client with liver disease who presents with dyspnea, weight gain and abdominal distention. Which order would the nurse anticipate?

Check blood glucose every 4 hours

2 gram sodium diet

Bedrest

Insert indwelling urinary catheter

Answer and Explanation

The Correct Answer is B

A) Monitoring blood glucose is more relevant for diabetic care.

B)   A sodium diet is appropriate for managing fluid retention associated with liver disease.
C)   Bedrest may be prescribed but not as specific to the management of fluid retention.
D)   Insertion of an indwelling urinary catheter is not a standard intervention without additional justification.

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Correct Answer is ["C","D","E"]

Explanation

A) Limited activity is not typically necessary unless specified by a physician.

B) A low-fat diet is usually recommended for a client with chronic pancreatitis.

C) Weight loss in chronic pancreatitis is common due to the risk of malnutrition and malabsorption.
D) Administration of pancrelipase is essential for aiding digestion if the pancreas is not producing enough enzymes.
E) Elimination of alcohol intake is critical to prevent further damage to the pancreas.

A. Review diet history B. Obtain a dietary consult C. Administer IV fluids D. Send stool for fecal fat

Correct Answer is D

Explanation

A) While reviewing the diet history is important to understand nutritional intake and habits, it is not the priority action in this case.
B) Consulting a dietitian is important but should follow an assessment that identifies the specific issue causing the symptoms.
C) This action may be necessary if the patient is dehydrated but doesn’t address the primary concern of foul-smelling stools and weight loss.
D) This test is crucial as it helps confirm the diagnosis of malabsorption, which is likely given the patient’s history of chronic pancreatitis and symptoms described. This would be the priority to confirm the cause of the symptoms.

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The nurse is admitting a client with liver disease who presents with dyspnea, weight gain and abdominal distention. Which order would the nurse anticipate?

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Naxlex Comprehensive Predictor Exams

The nurse is providing care to a client admitted with chronic pancreatitis. Which items are appropriate to include in the discharge teaching for this client? Select all that apply.

Correct Answer is ["C","D","E"]

Explanation

A client with a history of chronic pancreatitis reports weight loss of 10 pounds over the last month and foul smelling stools. What would be a priority action for the nurse to take?

Correct Answer is D

Explanation

The nurse is preparing to administer spironolactone (Aldactone) and furosemide (Lasix) at 0900 to a client diagnosed with ascites. Review of 0600 laboratory results shows serum sodium 130 mEq/L (136-145 mEq/L) and potassium 3.1 mEq/L (3.5-5.0 mEq/L). Which action should the nurse take first?

The nurse is collecting a health history of a client admitted for possible acute pancreatitis. Which health history item would increase the client's risk for this diagnosis?

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