HESI RN EXIT 1 PROCTORED EXAM
Select All That Apply
A client with cirrhosis of the liver is admitted with complications related to end stage liver disease. Which intervention(s) should the nurse implement? (Select all that apply.)
Explanation & Rationale
A. A diet low in phosphorus is not typically indicated for cirrhosis of the liver. Cirrhosis primarily affects the body's ability to handle proteins and not phosphorus. B. Noting signs of swelling and edema is important as these are common complications of cirrhosis due to hypoalbuminemia and portal hypertension. C. Increasing oral fluid intake is not advised as it can exacerbate fluid retention and ascites, which are complications of cirrhosis. D. Monitoring abdominal girth is crucial for assessing changes in ascites and potential fluid overload. E. Reporting serum albumin and globulin levels is essential as these can indicate the severity of liver disease and help guide treatment.
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