The nurse is admitting a client with liver disease who presents with dyspnea, weight gain and abdominal distention. Which order would the nurse anticipate?
Check blood glucose every 4 hours
2 gram sodium diet
Bedrest
Insert indwelling urinary catheter
The Correct Answer is B
A) Monitoring blood glucose is more relevant for diabetic care.
B) A sodium diet is appropriate for managing fluid retention associated with liver disease.
C) Bedrest may be prescribed but not as specific to the management of fluid retention.
D) Insertion of an indwelling urinary catheter is not a standard intervention without additional justification.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) Breath with fecal odor could indicate hepatic encephalopathy, for which lactulose is indicated.
B) Increasing confusion is a symptom of hepatic encephalopathy suggests a need for lactulose.
C) Elevated ammonia levels indicate hepatic encephalopathy hence the need for lactulose.
D) If the client already has diarrhea, additional doses of lactulose (which acts as a laxative) could exacerbate this condition and might need to be adjusted or halted based on clinical judgment.
Correct Answer is A
Explanation
A) Chronic and excessive alcohol consumption is a well-established risk factor for the development of chronic pancreatitis.
B) While contributing to other health issues, it is not directly linked to chronic pancreatitis.
C) Smoking is a risk factor, but alcohol abuse is more significantly associated with chronic pancreatitis.
D) Although it contributes to various health problems, it is not as directly linked to chronic pancreatitis as alcohol abuse.
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