The nurse is admitting a client diagnosed with ascites. Which assessment finding would the nurse anticipate?

Weight loss

Pedal edema

Flushed skin

Hematemesis

Answer and Explanation

The Correct Answer is B

A) Ascites, the accumulation of fluid in the abdominal cavity, typically presents with weight gain rather than weight loss.
B) Ascites often accompanies peripheral edema, particularly in the lower extremities.

C) Ascites is not typically associated with flushed skin; rather, it may lead to pallor due to anemia or jaundice due to liver dysfunction.
D) Ascites is not directly associated with vomiting blood; hematemesis may indicate complications such as esophageal varices, which can occur in advanced liver disease.

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Correct Answer is C

Explanation

A) Monitoring for hypertension is not directly related to caring for a client with enteral feeding via a jejunostomy tube.
B) Measuring residual volume is a nursing intervention for clients with gastric feeding tubes, not jejunostomy tubes.
C) Diarrhea is a potential complication of enteral feeding, and monitoring stool output is essential to assess for this complication and adjust feeding accordingly.
D) Monitoring blood glucose levels is important for clients with diabetes but is not specific to caring for a client with enteral feeding via a jejunostomy tube.

A. Prothrombin time (PT) B. Serum albumin C. Serum ammonia D. Troponin E. Serum lipase

Correct Answer is ["A","B","C"]

Explanation

A) PT is prolonged in cirrhosis due to impaired synthesis of clotting factors by the liver, making it important to monitor for bleeding risk.
B) Serum albumin levels decrease in cirrhosis due to impaired liver function, reflecting the client's nutritional status and liver synthetic function.
C) Elevated serum ammonia levels can indicate hepatic encephalopathy, a complication of cirrhosis characterized by altered mental status.
D) Troponin is not typically evaluated in cirrhosis assessment; it is a cardiac marker used to assess for myocardial infarction.
E) Serum lipase is not typically evaluated in cirrhosis assessment; it is a pancreatic enzyme used to diagnose pancreatitis.

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The nurse is admitting a client diagnosed with ascites. Which assessment finding would the nurse anticipate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When planning care for a client receiving an enteral feeding via jejunostomy tube, which intervention would the nurse include?

Correct Answer is C

Explanation

The nurse should evaluate results of which laboratory tests while caring for a client who has cirrhosis of the liver? Select all that apply.

Correct Answer is ["A","B","C"]

Explanation

A female client is visiting the Medical Clinic with suspected hepatitis C. Which assessment question should the nurse ask this client?

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The nurse is providing care to a client admitted with chronic pancreatitis. Which items are appropriate to include in the discharge teaching for this client? Select all that apply.

When planning care for a client with acute pancreatitis, which order would the nurse anticipate that will contribute to pain control?

A nurse is planning care for a client who has hepatitis B. Which of the following interventions should the nurse include in the plan?

The nurse is admitting a client diagnosed with ascites. Which assessment finding would the nurse anticipate?