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.
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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Related Questions
Correct Answer is C
Explanation
Tendon. A tendon is a fibrous connective tissue that connects muscle to bone. Musculoskeletal injuries that involve tendons can result from overuse, trauma, or degeneration. Tendinitis, for example, is a common condition characterized by inflammation of a tendon.
Choice A, Joint, is incorrect because a joint is the point of articulation between two or more bones.
Choice B, Cartilage, is incorrect because cartilage is a tough, flexible connective tissue that cushions joints and supports various structures in the body.
Choice D, Ligament, is incorrect because a ligament is a fibrous connective tissue that connects bone to bone and provides stability to joints.
Correct Answer is D
Explanation
"From birth through puberty." This period is the time of most rapid bone growth and development, which is crucial for the nurse to understand when educating clients on growth and development. Choices A, B, and C are not correct because they do not correspond with periods of bone growth and development.
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