When performing a physical examination on a client with cirrhosis, a nurse notices that the abdomen is enlarged. Which of the following interventions should the nurse consider?

Report the condition to the physician immediately.

Provide the client with nonprescription laxatives.

Measure abdominal girth according to a set routine.

Ask the client about food intake.

Answer and Explanation

The Correct Answer is C

Measure abdominal girth according to a set routine. Abdominal enlargement is a common finding in clients with cirrhosis, which is a condition characterized by liver scarring and impaired liver function. Measuring abdominal girth regularly is an important nursing intervention to monitor the progression of abdominal distention and to identify potential complications such as ascites, which is an accumulation of fluid in the abdomen.

Choice A, reporting the condition to the physician immediately, may be necessary if the abdominal enlargement is sudden or accompanied by other symptoms such as severe pain or shortness of breath.

Choice B, providing the client with nonprescription laxatives, is not indicated for abdominal enlargement in clients with cirrhosis.

Choice D, asking the client about food intake, is not relevant to the assessment of abdominal enlargement in clients with cirrhosis.

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Correct Answer is C

Explanation

The fracture is on the diaphysis. The femur, which is the thigh bone, is made up of three parts: the head, neck, and diaphysis. The diaphysis is the long, cylindrical part of the bone between the proximal and distal ends. When reporting the location of a fracture on the femur, it is most accurate to describe the location as being on the diaphysis.

Choice A, the fracture is on the epiphyses, is incorrect because the epiphyses are the rounded ends of the bone and are not typically involved in long bone fractures.

Choice B, the fracture is on the tuberosity, is incorrect because the tuberosity is a bony prominence where muscles attach and is not typically involved in long bone fractures.

A. Place the client on a hypothermia blanket. B. Provide the client with warm fluids. C. Cover the client with a light blanket. D. Ensure that the room temperature is below 70°F.

Correct Answer is B

Explanation

Provide the client with warm fluids. Shivering is the body's natural response to try to warm itself up. Providing warm fluids to the client can help to increase the client's core temperature and decrease shivering.

Choice A is incorrect because a hypothermia blanket is used to reduce the client's core temperature, which is not appropriate for a client who is shivering.

Choice C is incorrect because a light blanket may not provide enough warmth for the client who is shivering.

Choice D is incorrect because the room temperature should be kept warm to prevent the client from getting colder and shivering more.

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When performing a physical examination on a client with cirrhosis, a nurse notices that the abdomen is enlarged. Which of the following interventions should the nurse consider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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