Question

question 2 of 10
a client has ascites. which of the following interventions would the nurse prepare to assist with implementing to help the client control this condition? select all that apply.

• administering prescribed spironolactone (aldactone)
• taking the clients weight every 3 to 4 days
• instructing the client to remove salty and salted foods from the diet
• mobilizing the client every 2 hours
• assisting with placement of a transjugular intrahepatic portosystemic shunt

Explanation:

1. Administering prescribed spironolactone (Aldactone): Spironolactone is a potassium - sparing diuretic often used in ascites (especially related to liver disease) to reduce fluid retention by increasing urine output. So this is a correct intervention.
2. Taking the client's weight every 3 to 4 days: For a client with ascites, daily weight monitoring is more appropriate to closely track fluid gain or loss. So this is incorrect.
3. Instructing the client to remove salty and salted foods from the diet: Reducing sodium intake helps to decrease fluid retention, which is crucial in managing ascites. So this is a correct intervention.
4. Mobilizing the client every 2 hours: Mobilizing the client can help improve circulation and reduce the risk of complications like deep vein thrombosis, and also may help with fluid distribution. So this is a correct intervention.
5. Assisting with placement of a transjugular intrahepatic portosystemic shunt (TIPS): TIPS is a procedure used in some cases of ascites (especially refractory ascites related to liver disease) to reduce portal hypertension and thus reduce ascites. So this is a correct intervention.

Answer:

A. Administering prescribed spironolactone (Aldactone)
C. Instructing the client to remove salty and salted foods from the diet
D. Mobilizing the client every 2 hours
E. Assisting with placement of a transjugular intrahepatic portosystemic shunt