NursingPlex
    Sign In
    Ati bsn 0926 med surg proctored exam

    A nurse is caring for a client in the emergency room. Exhibits Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.

    Explanation & Rationale

    Rationale: Potential Condition: The client presents with jaundice, ascites, abdominal distention, confusion, and abnormal liver function tests (elevated AST, ALT, and bilirubin, with low albumin), consistent with cirrhosis and fluid volume excess. Actions to Take: Administer diuretics (such as spironolactone or furosemide) to reduce fluid retention and help manage ascites. Monitor fluid intake and output to evaluate fluid balance and effectiveness of diuretic therapy. Parameters to Monitor: Blood pressure is important because hypotension is present and can worsen with fluid shifts and diuretic therapy. Abdominal girth is monitored to track the progression or reduction of ascites.

    🔒 Submit your answer to reveal
    📋 View Case Study