Practice Question
A nurse is planning care for a client who has cirrhosis of the liver. Which of the following actions should the nurse include in the plan? (Select all that apply.)
Answer Choices:
Correct Answer:
Implement a low-sodium diet.
Rationale:
⚫Low-sodium diet
💎 Reduces fluid retention and helps manage ascites and edema associated with portal hypertension.
💎 Sodium promotes water retention, worsening complications of cirrhosis.
⚫ Administer furosemide
💎 A loop diuretic used to remove excess fluid in clients with ascites or peripheral edema.
💎 It helps improve respiratory status and abdominal comfort.
⚫ Measure abdominal girth
💎 Regular girth measurements monitor the progression of ascites and response to therapy.
💎 Increasing girth may signal worsening fluid accumulation.
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This question is from RN Medsurg 2 Respiratory Quiz which contains 22 questions.
More Questions from This Exam
A nurse is assessing a client who is 2 weeks postoperative following a kidney transplant. Which of the following manifestations should the nurse identify as possible organ rejection?
Answer Choices:
A. Temperature 36. IOC (97.OOF).
B. Weight loss.
C. Oliguria.
D. Insomnia.
A nurse is caring for a client who has pleural effusion and has undergone thoracentesis. The nurse should identify which of the following findings as indicative of an infection?
Answer Choices:
A. Milky fluid.
B. Bloody fluid.
C. Viscous fluid.
D. Purulent fluid.
A nurse is discussing a kidney transplant with a client who has end-stage renal disease (ESRD). Which of the following should the nurse identify as a contraindication for this treatment?
Answer Choices:
A. Breast cancer survivor for 8 years
B. 65 years of age.
C. Alcohol use disorder.
D. Pacemaker.
A nurse is assessing a client who has a pneumothorax with a chest tube in place. For which of the following findings should the nurse notify the provider?
Answer Choices:
A. Bubbling of the water in the water seal chamber with exhalation.
B. Eyelets are not visible.
C. Movement of the trachea toward the unaffected side.
D. Crepitus in the area above and surrounding the insertion site.
A nurse is providing care for a client diagnosed with diabetic ketoacidosis (DK). Which of the following manifestations should the nurse expect? (Select all that apply.)
Answer Choices:
A. Acidosis.
B. Low blood sugar.
C. Ketosis.
D. Fluid overload.
E. Hyperglycemia.
F. Alkalosis.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI MedSurg
- Answer Choices: 5