An older adult client with cirrhosis of the liver and hepatic failure is placed on a low sodium diet and is receiving periodic albumin infusions. Which assessment finding indicates progress toward the desired effect of this treatment plan?

Clear, dark amber-colored urine.

Prothrombin time within normal limits.

Decreased abdominal girth.

Improved level of consciousness.

Answer and Explanation

The Correct Answer is C

A. Clear, dark amber-colored urine may indicate dehydration or concentrated urine, which does not necessarily signify improvement in liver function or treatment efficacy.

B. A prothrombin time within normal limits may indicate improved liver function; however, it is not the primary goal of the treatment plan focused on managing ascites and fluid retention in cirrhosis.

C. Decreased abdominal girth is a key indicator of progress in managing fluid retention associated with cirrhosis, as the treatment plan aims to reduce ascites through a low sodium diet and albumin infusions.

D. Improved level of consciousness is essential for overall recovery but is not the primary measure of progress related to fluid management and treatment effects in this context.

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Correct Answer is ["E","F","H"]

Explanation

A. Spinach: Although it contains moderate purine levels, spinach is generally considered safe in moderation for people with gout.

B. Chicken: Lean meats, like chicken, contain moderate purines and are typically allowed in controlled portions.

C. Lentils: While lentils have some purine content, they are generally less likely to trigger gout attacks and can be included in a balanced diet.

D. Oranges: Oranges are low in purines and high in vitamin C, which may help reduce uric acid levels.

E. Shrimp: Seafood, particularly shellfish, is high in purines, which can increase uric acid levels and trigger gout attacks.

F. Liver: Organ meats, such as liver, are rich in purines and should be avoided by individuals with gout, as they can contribute to elevated uric acid levels.

G. Garlic: Garlic is low in purines and is safe for individuals with gout.

H. Sardines: Sardines are also high in purines, making them likely to exacerbate gout by increasing uric acid production.

A. Limit oral fluid intake to 500 mL/day. B. Restrict protein intake by limiting meats and other high protein foods. C. Increase intake of potassium-rich foods, such as bananas or cantaloupe. D. Increase intake of high-fiber foods, such as bran cereal.

Correct Answer is B

Explanation

A. Limiting oral fluid intake may be necessary in some cases of glomerulonephritis, especially if the client is experiencing edema or hypertension, but this is not a universal recommendation and should be assessed individually.

B. Restricting protein intake is important for clients with glomerulonephritis to reduce the workload on the kidneys and prevent further damage. This is a critical dietary adjustment that nurses should emphasize.

C. Increasing potassium-rich foods can be contraindicated in clients with glomerulonephritis, especially if renal function is compromised, as it can lead to hyperkalemia.

D. While high-fiber foods can be beneficial for overall health, they do not directly address the specific dietary needs of a client with glomerulonephritis in terms of protein and electrolyte balance.

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An older adult client with cirrhosis of the liver and hepatic failure is placed on a low sodium diet and is receiving periodic albumin infusions. Which assessment finding indicates progress toward the desired effect of this treatment plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Exhibits The nurse is reviewing the client's dietary choices for opportunities to promote better outcomes by limiting gout attacks. Select the 3 dietary choices that are not part of the recommended diet for a client with gout.

Correct Answer is ["E","F","H"]

Explanation

The nurse is teaching a client with glomerulonephritis about self-care. Which dietary recommendation should the nurse encourage the client to follow?

Correct Answer is B

Explanation

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