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.
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Related Questions
Correct Answer is C
Explanation
A) Pancrelipase may be prescribed to aid in digestion in chronic pancreatitis but is not typically used in the acute phase.
B) While ambulation may be encouraged as tolerated, it is not a specific prescription for acute pancreatitis.
C) Pantoprazole, a proton pump inhibitor, is often prescribed in acute pancreatitis to reduce gastric acid secretion, thereby reducing pancreatic stimulation and promoting healing.
D) In acute pancreatitis, dietary intake is typically restricted initially, often starting with nothing by mouth (NPO) and progressing to a clear liquid diet as tolerated; a low-residue diet is usually introduced at a later stage.
Correct Answer is A
Explanation
A) HBV can be transmitted from an infected mother to her child during childbirth.
The importance of screening and vaccination should be emphasized.
B) While important for general health, this is not specifically related to the transmission of HBV, which is primarily spread through blood and bodily fluids.
C) These are not typical symptoms of HBV; common symptoms include jaundice, fatigue, and abdominal pain.
D) History of gallstones is not a risk factor for HBV.
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