A patient with a liver abscess is experiencing nausea and ...

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A patient with a liver abscess is experiencing nausea and vomiting. Which problem should the nurse identify as a priority for this patient?
 
  1. too much fluid
  2. not enough fluid
  3. problem breathing
  4. altered self-image

Question 2

A patient with cirrhosis is experiencing hypertension, edema, and shortness of breath. What should the nurse identify as the patient's priority problem?
 
  1. insufficient fluid level
  2. problem with tissue perfusion
  3. too much bodily fluid
  4. problem with integumentary status

[duke02]

Answer to Question 1

Correct Answer: 2
The patient with a liver abscess is at risk for developing dehydration due to fever, nausea, and vomiting as a result of the infection. It is important that the nurse assess for signs of dehydration. The patient is likely not experiencing a problem with too much fluid. The patient with a liver abscess is not usually in respiratory distress. There should be no problems with self-image, as the infection is in the liver.

Answer to Question 2

Correct Answer: 3
The patient with shortness of breath, edema, and hypertension is experiencing an excessive amount of fluid. Hypotension and dry mucous membranes are associated with a fluid volume deficit. There is no evidence that the patient is having problems with tissue perfusion. Edema can cause an alteration in skin integrity, but there is no evidence of such problems in this patient.

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Excellent

[xiaomengxian]

Gracias!