While performing a physical examination on a client with cirrhosis, which of the following interventions should the nurse report immediately to the physician?
Pode the client with non-prescription laxatives.
Measure abdominal girth according to a set routine.
Ask the client about food intake.
Check for signs of hepatic encephalopathy.
The Correct Answer is A
Giving non-prescription laxatives to a client with cirrhosis can cause severe dehydration and electrolyte imbalances, which can be life-threatening. The nurse should report this intervention immediately to the physician.
Choice B is incorrect because measuring abdominal girth is a standard nursing intervention for clients with cirrhosis to assess for ascites.
Choice C is incorrect because asking the client about food intake is a standard nursing intervention for assessing nutritional status.
Choice D is incorrect because checking for signs of hepatic encephalopathy is a standard nursing intervention for clients with cirrhosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
"Temperature regulation," "Protection," "Sensory processing," and "Chemical synthesis." These are all functions of the skin that the nurse should expect students to identify during a group discussion about the skin's functions. Choice A, "Metabolism," is not a primary function of the skin, although the skin does play a role in the synthesis of vitamin D, which can impact metabolism.
Correct Answer is B
Explanation
Anorexia nervosa is a nutritional disorder characterized by a distorted body image and fear of weight gain, leading to an abnormally low body weight. Clients with anorexia nervosa may also engage in binge eating and purging behaviors.
Choice A is incorrect because Kwashiorkor is a type of protein-energy malnutrition caused by a severe protein deficiency.
Choice C is incorrect because Crohn's disease is a chronic inflammatory bowel disease.
Choice D is incorrect because Bulimia nervosa is a nutritional disorder characterized by binge eating and purging behaviors.
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