MEDizzy - A client is admitted to the hospital with hepatic failure.

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A client is admitted to the hospital with hepatic failure. The nurse assesses the client and finds marked ascites, shortness of breath, pulse 110, and BP of 102/60. What is the first measure taken by the nurse to improve the client’s comfort level?

ExplanationThe nurse reduces pressure of ascites on the diaphragm and lungs by raising the head of the bed. Additional fluid and sodium (5% albumin in normal saline) will increase ascites. Ascites is treated with a low-sodium diet and diuretics. No data support using oxygen.