Serum albumin Is to be administered intravenously to client with ascites, The expected outcome of this treatment will be a decrease in:

Correct Answer: C

Rationale: Serum albumin is a protein that helps maintain oncotic pressure in the blood vessels and prevents fluid from leaking out into the surrounding tissues. In clients with ascites, which is the accumulation of fluid in the abdominal cavity due to liver disease, administration of serum albumin can help shift the fluid from the abdominal cavity back into the blood vessels. As a result, the expected outcome of this treatment would be a decrease in abdominal girth as the fluid is reabsorbed and redistributed. Administering serum albumin would not directly affect urinary output, serum ammonia levels, or hepatic encephalopathy.

Correct Answer: A

Rationale: Chronic hyperparathyroidism can lead to excessive bone demineralization due to increased levels of parathyroid hormone. This can weaken the bones and increase the risk for pathologic fractures. Therefore, the most appropriate "related-to" phrase to add to the nursing diagnosis of Risk for injury for a client with chronic hyperparathyroidism would be bone demineralization resulting in pathologic fractures. This accurately reflects the potential risk for injury associated with the client's condition.

Correct Answer: D

Rationale: The therapeutic effect of phototherapy is influenced by distance, skin color, and exposed skin area, but not by in vivo bilirubin metabolism. The other factors are important for phototherapy efficacy.

Correct Answer: C

Rationale: Epstein-Barr virus is less commonly associated with postinfectious arthritis.

Correct Answer: B

Rationale: Colic is a common cause of sleep disturbance in young infants.