NCLEX-PN

Category - Physiological Adaptation

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The nurse is assigned to care for a client with heart failure who is admitted due to ascites. Which of the following parameters should the nurse assess to monitor the progression of the ascites?

Daily weight
Heart sounds
Abdominal girth
Serum albumin

Explanation

Answer: C - In order to monitor the progression of ascites in clients with heart failure, the nurse should obtain the client’s abdominal girth daily. Serum albumin is only assessed if the ascites is caused by malnutrition or kidney disease. Daily weight measures general fluid retention, but it does not evaluate the progression of ascites; heart sounds do not determine the severity of the ascites.

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