The nurse is caring for a client with cirrhosis of the liver with ascites. When instructing nursing assistants in the care of the client, the nurse should emphasize that:

Correct Answer: D

Rationale: Semi-Fowler's position aids in breathing and reduces pressure on the abdomen.

Correct Answer: A

Rationale: Lubricating drops relieve dryness and discomfort by moisturizing the ocular surface.

Correct Answer: A

Rationale: The correct answer is A: Fluctuation of the fluid level within the water seal chamber. This indicates proper chest tube function as it shows that the system is maintaining the desired pressure and allowing for adequate drainage without obstruction. When the patient breathes in and out, the fluid level fluctuates due to changes in intrathoracic pressure. Explanation of other choices: B: Absence of fluid in the drainage tubing - This would indicate a problem with drainage, possibly due to a blockage in the tubing. C: Continuous bubbling within the water seal chamber - This would suggest an air leak in the system, which is not ideal as it can lead to lung collapse. D: Equal amounts of fluid drainage in each collection chamber - While equal drainage is good, it does not specifically indicate proper chest tube function like the fluctuation of the fluid level does.

Correct Answer: A

Rationale: Iron ingestion can cause severe toxicity and requires immediate medical attention.

Correct Answer: D

Rationale: An unstable condition reflects loss of control over symptoms and disease progression, indicating difficulty managing health effectively.