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 C
Explanation
A) These symptoms are more indicative of chronic conditions.
B) These are not specific to acute pancreatitis.
C) Elevated lipase and Turner's sign (bruising around the flanks) strongly suggest acute pancreatitis.
D) Amylase within normal limits and steatorrhea do not support acute pancreatitis.
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.
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