A nurse is caring for a client who has pleural effusion and has undergone thoracentesis.
The nurse should identify which of the following findings as indicative of an infection?

Choice A rationale

Acetaminophen can be hepatotoxic in clients with liver damage, so it should be avoided. This is especially critical for clients with cirrhosis, where liver function is already compromised.

Choice B rationale

Eating three large meals can be overwhelming for someone with cirrhosis, as the liver is less able to process nutrients efficiently. Smaller, more frequent meals are advised.

Choice C rationale

Avoiding high-sodium foods is crucial because cirrhosis often leads to fluid retention and ascites, which can be exacerbated by a high-sodium diet.

Choice D rationale

Increasing activity as much as possible may not be safe for someone with cirrhosis, who often experiences fatigue and muscle wasting. Activity should be balanced with rest and tolerance levels.

Choice A rationale

Obtaining a prescription for supplemental oxygen is the first action as hypoxia must be corrected immediately to ensure adequate tissue oxygenation.

Choice B rationale

Obtaining a prescription to administer intravenous fluids is essential to address dehydration but is secondary to correcting hypoxia.

Choice C rationale

Obtaining a prescription to administer insulin is crucial to manage hyperglycemia in diabetic ketoacidosis but not the initial step in this context.

Choice D rationale

Obtaining a prescription to check the client's glucose level is necessary for monitoring but does not address the immediate need for oxygenation.