A client with liver cirrhosis has developed ascites. Which nursing intervention is a priority for managing this complication?

Encouraging the client to increase protein intake.

Assisting the client with frequent ambulation.

Administering diuretics as prescribed by the healthcare provider.

Teaching the client deep breathing exercises.

Answer and Explanation

The Correct Answer is C

A) While adequate protein intake is important for overall health, encouraging the client to increase protein intake is not a priority in managing ascites. The priority is to address fluid retention through diuretic therapy.

B) While ambulation can be beneficial for clients with liver cirrhosis, it is not the priority for managing ascites. Diuretic therapy is more directly targeted at reducing fluid accumulation.

C) The priority nursing intervention for managing ascites in a client with liver cirrhosis is administering diuretics as prescribed by the healthcare provider. Diuretics help reduce fluid retention and alleviate the pressure caused by the accumulation of fluid in the abdomen. This intervention aims to improve the client's comfort and prevent the development of further complications associated with ascites.

D) Deep breathing exercises can be helpful for clients with liver cirrhosis, but they are not the priority for managing ascites. The focus should be on diuretic therapy and addressing the fluid retention in the abdomen.

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Correct Answer is C

Explanation

A) Iron supplements are not a priority intervention for a client with hepatic encephalopathy. In fact, administering iron supplements without proper indication can be harmful, as excessive iron can worsen liver damage in cirrhosis.

B) While monitoring fluid intake and output is important in managing various aspects of liver cirrhosis, it is not the essential intervention for hepatic encephalopathy. The priority in hepatic encephalopathy is to ensure seizure precautions and address the client's altered mental status.

C) Hepatic encephalopathy is a neuropsychiatric complication of liver cirrhosis that can lead to altered mental status, confusion, and potential seizures. Implementing seizure precautions is essential in the care of this client to ensure their safety and prevent injury during any potential seizure activity. Seizure precautions may include padding the side rails of the bed, ensuring a clear and clutter-free environment, and providing close supervision to the client. In severe cases, the healthcare provider may prescribe antiepileptic medications to manage and prevent seizures.

D) Encouraging a high-protein diet is not appropriate for a client with hepatic encephalopathy. High-protein diets can exacerbate hepatic encephalopathy by increasing ammonia production in the intestines. Instead, the client should be prescribed a controlled-protein diet and, in some cases, given lactulose to help reduce ammonia levels.

A. "Moderate alcohol intake is acceptable, but avoid binge drinking." B. "You can resume your previous alcohol consumption habits." C. "It is essential to stop drinking alcohol completely." D. "Limit alcohol to only beer or wine but avoid hard liquor."

Correct Answer is C

Explanation

A) This statement is incorrect. Even moderate alcohol intake can be harmful to a client with liver cirrhosis. Alcohol should be completely avoided to prevent exacerbation of liver damage.

B) This statement is incorrect. The client should not resume their previous alcohol consumption habits. Continued alcohol consumption can lead to further liver damage and complications.

C) For a client with liver cirrhosis, alcohol consumption should be completely avoided. Alcohol is a significant contributor to liver damage and can worsen the condition, leading to further complications. Abstinence from alcohol is crucial to prevent further liver injury and improve the client's overall prognosis.

D) This statement is incorrect. The client should not consume any type of alcoholic beverage. All forms of alcohol can be harmful to the liver, and complete abstinence is necessary for individuals with liver cirrhosis.

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A client with liver cirrhosis has developed ascites. Which nursing intervention is a priority for managing this complication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with liver cirrhosis is admitted to the hospital with hepatic encephalopathy. Which nursing intervention is essential in the care of this client?

Correct Answer is C

Explanation

A nurse is providing discharge instructions to a client with liver cirrhosis. Which statement by the nurse is appropriate regarding alcohol consumption?

Correct Answer is C

Explanation

A client with suspected liver cirrhosis is scheduled for a diagnostic imaging test. Which imaging modality is commonly used to assess the liver's size, shape, and structure in clients with cirrhosis?

A nurse is assessing a client with suspected liver cirrhosis. Which clinical manifestation should the nurse expect to find as an early sign of the condition?

A client with liver cirrhosis is at risk of developing esophageal varices. Which medication should the nurse expect to be prescribed to reduce the risk of bleeding from these varices?

A client with liver cirrhosis is found to have elevated iron levels in their blood. Which genetic disorder should the nurse suspect as a possible cause of these findings?

A client with liver cirrhosis complains of difficulty sleeping at night due to frequent awakenings caused by shortness of breath. Which complication should the nurse suspect as the most likely cause of the client's symptom?

A nurse is caring for a client with liver cirrhosis and notices that the client's platelet count is significantly decreased. Which complication of liver cirrhosis is the likely cause of this finding?

A client with liver cirrhosis is prescribed lactulose to manage hepatic encephalopathy. What should the nurse instruct the client about taking this medication?

A client with liver cirrhosis is at risk of developing esophageal varices. Which nursing intervention is essential in the care of this client?