QuestionMay 5, 2026

A client with Loennec cirrhosis experiences ascites, jaundice, and confusion. Which is a nursing priority when caring for this client? A Correcting nutritional deficiencies B Measuring abdominal girth every day C Providing for the client's physical safety D Placing the client in the high-Fowler position

A client with Loennec cirrhosis experiences ascites, jaundice, and confusion. Which is a nursing priority when caring for this client? A Correcting nutritional deficiencies B Measuring abdominal girth every day C Providing for the client's physical safety D Placing the client in the high-Fowler position
A client with Loennec cirrhosis experiences ascites, jaundice, and confusion. Which is a nursing priority when caring for this client? A Correcting nutritional deficiencies B Measuring abdominal girth every day C Providing for the client's physical safety D Placing the client in the high-Fowler position

Solution
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Answer

C Providing for the client's physical safety Explanation 1. Identify primary concern The client has confusion, which indicates altered mental status that increases risk for injury and falls. 2. Apply nursing priorities Safety is always the priority when a patient’s mental status is compromised, before other interventions.

Explanation

1. Identify primary concern<br /> The client has confusion, which indicates altered mental status that increases risk for injury and falls.<br />2. Apply nursing priorities<br /> Safety is always the priority when a patient’s mental status is compromised, before other interventions.
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