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 low phosphorus diet is not typically indicated for liver cirrhosis; instead, a low sodium diet is usually recommended to manage ascites and edema. B. Noting signs of swelling and edema is important for monitoring fluid retention, a common complication of cirrhosis. C. Increasing oral fluid intake is not advised without careful assessment due to the risk of fluid overload and worsening of ascites. D. Monitoring abdominal girth helps in assessing for ascites and its progression, which is crucial in the management of cirrhosis. E. Reporting serum albumin and globulin levels is important as these can indicate the synthetic function of the liver and help guide treatment.
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