When performing a physical examination on a client with cirrhosis, a nurse notices that the client's abdomen is enlarged. Which of the following interventions should the nurse consider?
A) Report the condition to the physician immediately.
B) Measure abdominal girth according to a set routine.
C) Provide the client with nonprescription laxatives.
D) Ask the client about food intake.Add Question Here

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Quizplus · Accepted Answer

Enlargement of the abdomen in a client with cirrhosis is due to the accumulation of fluid in the peritoneal cavity, a condition known as ascites. Measuring abdominal girth routinely can help monitor the progression of ascites and allow for timely intervention. Reporting the condition to the physician is necessary, but not the immediate intervention in this case. Providing nonprescription laxatives may worsen the condition by increasing fluid loss and dehydration, and asking about food intake does not address the current issue of ascites.

When Performing a Physical Examination on a Client with Cirrhosis