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

Answer and Explanation

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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Correct Answer is B

Explanation

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.

A. Malabsorption and weight loss B. Fluid retention and hypertension C. Lipase 3200 u/L (20-180 u/L) and Turner sign D. Amylase 35 u/L (30-170 u/L) and steatorrhea

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.

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The nurse is admitting a client with liver disease who presents with dyspnea, weight gain and abdominal distention. Which order would the nurse anticipate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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What does the nurse identify as a potential complication of chronic pancreatitis?

The nurse is preparing discharge teaching for a client who has had a paracentesis. What information should be included in the education session?

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