A nurse is assessing a client who has cirrhosis. Which of the following is an expected finding for this client?
Blood in the urine
Spider angiomas
Tarry stools
Moist skin
The Correct Answer is B
Choice A reason:
Blood in the urine (hematuria) is not typically associated with cirrhosis. It may be related to other underlying conditions.
Choice B reason:
Spider angiomas (also known as spider nevi) are expected findings in clients with cirrhosis.
They are small, dilated blood vessels near the surface of the skin that resemble a spider's web. They can be found on the face, neck, upper trunk, and arms.
Choice C reason:
Tarry stools (melena) can occur in individuals with gastrointestinal bleeding, which can be a complication of cirrhosis. However, it is not a specific finding for cirrhosis itself.
Choice D reason:
Moist skin is not a characteristic finding associated with cirrhosis. It may be related to other factors such as environmental humidity or individual factors like sweating.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
This statement may not be entirely accurate. While other parts of the digestive system can compensate to some extent, the primary function of the appendix is not related to the large intestine's adaptation.
Choice B reason:
This is the correct answer. The appendix is considered a vestigial organ, meaning it doesn't have a major function in humans. Its removal typically doesn't lead to noticeable changes in overall health or digestion.
Choice C reason:
While the appendix does have some immune functions, the impact on nutrient absorption is minimal, and its removal is unlikely to lead to a significant difference in nutrient absorption.
Choice D reason:
Limiting fat intake after surgery is not a standard recommendation following an appendectomy. The statement may cause unnecessary concern for the patient.
Correct Answer is C
Explanation
Choice A reason:
This statement is not directly related to the client's use of bisacodyl tablets. It addresses irregular bowel movements in a general sense.
Choice B reason:
Decreasing fiber intake is not a recommended approach, especially for an older adult who may benefit from a balanced diet with adequate fiber.
Choice C reason:
This is the correct answer. Excessive use of laxatives, including bisacodyl, can lead to electrolyte imbalances. Bisacodyl is a stimulant laxative that can cause excessive fluid loss and potentially
disrupt electrolyte levels.
Choice D reason:
While chronic use of laxatives can lead to various complications, including potential harm to the rectal mucosa, this choice is not the most appropriate response to the client's current situation.
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