Which of the following nursing actions should be included in the plan of care for a client with cirrhosis who has ascites and 4+ edema of the feet and legs?

Question

Quizplus · Accepted Answer

To maintain skin integrity, restrict sodium intake as ordered to prevent additional fluid retention. The client should be weighed daily, not weekly. Repositioning the client every 4 hours will not be adequate to maintain skin integrity; clients should be repositioned at least every two hours. Passive range of motion will not take pressure off areas like the sacrum that are vulnerable to breakdown.

Which of the Following Nursing Actions Should Be Included in the Plan