a nurse is planning care for a client who has cirrhosis and ascites which of the following interventions should the nurse include in the plan of care

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ATI Nutrition

1. A client with cirrhosis and ascites is being cared for by a nurse. Which of the following interventions should the nurse include in the plan of care?

A. Decrease the client's fluid intake.
B. Increase the client's saturated fat intake.
C. Increase the client's sodium intake.
D. Decrease the client's carbohydrate intake.

Correct answer: D

Rationale: In a client with cirrhosis and ascites, decreasing carbohydrate intake is essential as it helps reduce the production of ascitic fluid. Excess carbohydrates can lead to fluid retention. Choices A, B, and C are incorrect. Decreasing fluid intake can worsen dehydration, increasing saturated fat intake is not recommended due to its impact on liver health, and increasing sodium intake can worsen fluid retention and exacerbate ascites in these clients.

2. Before and after the operation, the operating suite is managed by the:

A. Surgeon C. Nurse Manager
B. Nurse Supervisor D. Chief Nurse
C.
D.

Correct answer: D

Rationale: Understanding the underlying pathology and therapeutic techniques ensures that nursing care is not only reactive but also preventative, reducing the risk of complications.

3. A nurse is caring for a 30-month-old toddler and is preparing a nutritional snack. Which of the following foods is appropriate for the nurse to offer the toddler?

A. Plain popcorn
B. Grapes
C. Raw carrots
D. Cheese

Correct answer: D

Rationale: Cheese is a safe and nutritious option for toddlers as it provides calcium and protein without posing choking hazards. Plain popcorn, grapes, and raw carrots are not recommended for toddlers due to the potential choking risks they present, especially at a young age.

4. When taking a blood pressure reading, where should the cuff be positioned?

A. The cuff should be deflated fully before immediately starting a second reading for the same patient
B. The cuff should be deflated quickly after being inflated to 180 mmHg
C. The cuff should be large enough to wrap around the upper arm of the adult patient, positioned 1 cm above the brachial artery
D. The cuff should be inflated to 30 mmHg above the estimated systolic BP based on palpation of the radial or brachial artery

Correct answer: D

Rationale: When measuring blood pressure, the cuff should be inflated to 30 mmHg above the estimated systolic blood pressure based on palpation of the radial or brachial artery. This ensures an accurate blood pressure measurement. Choices A, B, and C are incorrect. Deflating the cuff fully before starting a second reading (Choice A) does not directly relate to the position of the cuff during a reading. Deflating the cuff quickly after inflating to 180 mmHg (Choice B) is not recommended because it can potentially lead to inaccurate readings. While ensuring the cuff is large enough to wrap around the upper arm positioned 1 cm above the brachial artery is important (Choice C), this alone does not guarantee an accurate blood pressure reading. The correct inflation based on palpation is the key element for accuracy, which is why Choice D is correct.