A client with cirrhosis and ascites requires a care plan. Which intervention should the nurse include?

Correct Answer: D

Rationale: In cirrhosis with ascites, decreasing fluid intake is crucial to manage the condition. This helps prevent further fluid accumulation in the abdomen. Increasing sodium intake (Choice A) can worsen fluid retention and edema. Increasing saturated fat intake (Choice B) is not recommended as it can contribute to liver damage. Decreasing carbohydrate intake (Choice C) is not directly related to managing ascites in cirrhosis.

Correct Answer: B

Rationale: Obtaining a 12-lead ECG is crucial in this situation to assess cardiac function due to the elevated potassium level. High potassium levels can lead to dangerous arrhythmias, and an ECG helps in detecting any cardiac abnormalities. Choices A, C, and D are incorrect. Suggesting a salt substitute can further elevate the client's potassium levels. Checking serum sodium levels is not the priority when dealing with high potassium levels. Advising the client to add citrus juices and bananas, which are high in potassium, would worsen the situation.

Correct Answer: A

Rationale: The correct actions the nurse should take when caring for a client postoperative following a cholecystectomy and reporting pain include changing the client's position. This can help relieve postoperative pain by reducing pressure on the surgical site. Identifying the client's pain level is important but not specific to alleviating postoperative pain. While reminding the client to use incisional splinting can be beneficial, it may not directly address the immediate pain concern. Offering the client a back rub is not typically indicated for postoperative pain relief after a cholecystectomy.

Correct Answer: D

Rationale: In teaching a client about levothyroxine for primary hypothyroidism, it is crucial for the nurse to provide accurate information to ensure optimal medication adherence and management. Option D, "Tremors, nervousness, and insomnia may indicate your dose is too high," is the correct statement to use when educating the client. This is because levothyroxine is a medication used to replace or supplement the naturally occurring thyroid hormone in the body. Side effects like tremors, nervousness, and insomnia are indicators of hyperthyroidism, which can occur if the dose of levothyroxine is too high. Option A is incorrect as abruptly discontinuing levothyroxine can lead to a recurrence of hypothyroid symptoms and potential complications. Option B is incorrect because improvements in symptoms usually occur gradually over weeks to months, rather than immediately after starting the medication. Option C is also incorrect because levothyroxine is used to supplement, not decrease, thyroid hormone levels in hypothyroidism. In an educational context, understanding the correct statements ensures that the client comprehends the importance of regular monitoring, adherence to prescribed doses, and recognizing signs of over or undermedication. Providing accurate information empowers the client to actively participate in managing their health and promotes better outcomes in the treatment of hypothyroidism.

Correct Answer: C

Rationale: The correct answer is Ciprofloxacin. Ciprofloxacin is an antibiotic effective in treating anthrax exposure. Fluconazole (Choice A) is an antifungal medication used for fungal infections, not anthrax. Tobramycin (Choice B) is an antibiotic used for bacterial infections but is not the first line of treatment for anthrax. Vancomycin (Choice D) is also an antibiotic, but it is not the preferred choice for treating anthrax.