A nurse is planning care for a client who has cirrhosis and ascites.
Which of the following interventions should the nurse include in the plan of care?
Increase the client’s sodium intake.
Increase the client’s saturated fat intake.
Decrease the client’s fluid intake.
Decrease the client’s carbohydrate intake.
The Correct Answer is C
Choice A rationale
Increasing sodium intake is not recommended for a client with cirrhosis and ascites. Sodium can cause fluid retention, which can worsen ascites.
Choice B rationale
Increasing saturated fat intake is not recommended for a client with cirrhosis and ascites. A balanced diet with adequate protein and carbohydrates is recommended.
Choice C rationale
Decreasing fluid intake can be a part of the management plan for a client with cirrhosis and ascites. This can help manage fluid balance and prevent further accumulation of fluid in the abdomen.
Choice D rationale
Decreasing carbohydrate intake is not typically recommended for a client with cirrhosis and ascites. Carbohydrates provide a source of energy that is necessary for the body’s functions.
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Related Questions
Correct Answer is B
Explanation
Choice A rationale
Auscultation of a bruit over the pedal pulse is not a typical symptom of DVT. A bruit is a sound heard over an artery due to turbulent blood flow. While it may indicate vascular disease, it is not a symptom of DVT121314.
Choice B rationale
Groin tenderness can be a symptom of DVT. DVT often causes pain or tenderness in the affected area, which can include the groin.
Choice C rationale
Pallor in the affected extremity is not a typical symptom of DVT. DVT can cause swelling and warmth in the affected area, but it does not typically cause pallor.
Choice D rationale
Cramping pain in one foot is not a typical symptom of DVT. DVT often causes pain or swelling in the affected leg, but the pain is not typically limited to the foot.
Correct Answer is D
Explanation
Choice A rationale
Potassium levels are not directly affected by lactulose. Lactulose is used to treat hepatic encephalopathy, a complication of cirrhosis, by reducing levels of ammonia in the blood.
Choice B rationale
Glucose levels are not directly affected by lactulose. Lactulose is used to treat hepatic encephalopathy, a complication of cirrhosis, by reducing levels of ammonia in the blood.
Choice C rationale
Bicarbonate levels are not directly affected by lactulose. Lactulose is used to treat hepatic encephalopathy, a complication of cirrhosis, by reducing levels of ammonia in the blood.
Choice D rationale
In clients who have cirrhosis, lactulose is used to decrease levels of ammonia in the bloodstream. Lactulose works by changing the acidity of the gut, which helps trap ammonia in the colon and prevent it from being absorbed into the bloodstream.
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