The nurse is admitting a client diagnosed with ascites. Which assessment finding would the nurse anticipate?
Weight loss
Pedal edema
Flushed skin
Hematemesis
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","E"]
Explanation
A) Limited activity is not typically necessary unless specified by a physician.
B) A low-fat diet is usually recommended for a client with chronic pancreatitis.
C) Weight loss in chronic pancreatitis is common due to the risk of malnutrition and malabsorption.
D) Administration of pancrelipase is essential for aiding digestion if the pancreas is not producing enough enzymes.
E) Elimination of alcohol intake is critical to prevent further damage to the pancreas.
Correct Answer is D
Explanation
A) While an elevated WBC count may indicate infection, it is not unexpected in acute pancreatitis.
B) Serum potassium within normal range does not require immediate intervention.
C) Serum albumin within normal range does not require immediate intervention.
D) Lipase levels significantly elevated above the normal range indicate ongoing pancreatic inflammation and may require intervention or adjustment of treatment.
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