The nurse is planning care for the client diagnosed with liver cancer experiencing ascites. The nurse would include which of the following?
Limiting visits by family members and friends
Assessment of amylase and lipase
Abdominal assessment including abdominal girth
Continuous cardiac monitoring
The Correct Answer is C
A. Limiting visits by family members and friends is not necessary for managing ascites and could hinder the client's emotional support.
B. While amylase and lipase are important in assessing pancreatic function, they are not directly relevant to ascites management or liver cancer.
C. An abdominal assessment including abdominal girth is crucial for monitoring ascites, as changes in girth can indicate fluid accumulation or changes in the client's condition.
D. Continuous cardiac monitoring is not typically indicated for clients with liver cancer experiencing ascites unless there are specific cardiac concerns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["62.5"]
Explanation
To determine the IV pump rate, we need to calculate the flow rate in milliliters per hour (mL/h).
Given:
- Total volume: 500 mL
- Infusion time: 8 hours
Calculation:
- Flow rate = Total volume / Infusion time
- Flow rate = 500 mL / 8 hours
- Flow rate = 62.5 mL/h
Correct Answer is B
Explanation
A. Washing the skin with water is generally acceptable, but applying scented lotion is not recommended as it may irritate the skin or interfere with treatment; only specific products as advised by the healthcare provider should be used.
B. Skin treatment markings are important for ensuring correct targeting of radiation during therapy and should remain intact for the duration of treatment to avoid misalignment.
C. While some precautions may be necessary, limiting time with others at home is not typically a requirement for external radiation, as it does not make the client radioactive.
D. Skin damage can occur from radiation treatment, and any changes should be reported to the healthcare provider, as monitoring and managing side effects is important for the patient's overall care.
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