Ati nur 213 lifespan 2 (fundamental exam) ( 25 Questions)
Which nursing interventions should the RN implement when providing care for a patient with ascites related to Cirrhosis of the liver? Select all that apply.
The Correct Answers: A. Administer furosemide as prescribed: Furosemide promotes diuresis in patients with ascites, thereby relieving abdominal distension and associated discomfort. It is used carefully alongside electrolyte monitoring to prevent complications such as hypokalemia or dehydration. B. Encourage an increase in oral fluids: Increasing fluid intake is generally contraindicated in patients with ascites, especially if they also have dilutional hyponatremia. Fluid restriction is more appropriate to prevent worsening of fluid retention and further strain on liver function. C. Prepare patient for a paracentesis: Paracentesis is an effective procedure for relieving severe ascites in cirrhosis. This intervention provides symptomatic relief and can improve respiratory function and comfort in advanced cases. D. Maintain strict intake and output: Monitoring fluid balance is critical in managing ascites. Accurate intake and output records help evaluate the effectiveness of diuretic therapy and detect complications like fluid overload or electrolyte imbalance. E. Ambulate in hallway three times daily: While it doesn’t directly reduce ascites, mobility improves circulation, reduces the risk of venous stasis and thromboembolism, and supports overall physical function.
Correct Answer:
A. Administer furosemide as prescribed: Furosemide promotes diuresis in patients with ascites, thereby relieving abdominal distension and associated discomfort. It is used carefully alongside electrolyte monitoring to prevent complications such as hypokalemia or dehydration.
B. Encourage an increase in oral fluids: Increasing fluid intake is generally contraindicated in patients with ascites, especially if they also have dilutional hyponatremia. Fluid restriction is more appropriate to prevent worsening of fluid retention and further strain on liver function.
C. Prepare patient for a paracentesis: Paracentesis is an effective procedure for relieving severe ascites in cirrhosis. This intervention provides symptomatic relief and can improve respiratory function and comfort in advanced cases.
D. Maintain strict intake and output: Monitoring fluid balance is critical in managing ascites. Accurate intake and output records help evaluate the effectiveness of diuretic therapy and detect complications like fluid overload or electrolyte imbalance.
E. Ambulate in hallway three times daily: While it doesn’t directly reduce ascites, mobility improves circulation, reduces the risk of venous stasis and thromboembolism, and supports overall physical function.
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