Difficulty: Medium
Average Score: 66%
Simulated
A nurse is caring for a client who has cirrhosis of the liver. Which of the following actions should the nurse take?
Correct answer
A
Rationale
The correct answer is A: Monitor for abdominal ascites. In cirrhosis, liver damage leads to fluid accumulation in the abdomen, causing ascites. Monitoring for ascites is crucial for assessing the client's condition and determining the effectiveness of treatment. Implementing a low-carbohydrate diet (B) is not directly related to cirrhosis management. Reviewing serum amylase levels (C) is not specific to cirrhosis and is more indicative of pancreatitis. Placing warm compresses on areas of pruritus (D) may provide symptomatic relief but does not address the underlying issue of cirrhosis.