Posted: February 26th, 2018

Increased abdominal girth. Which 5 nursing action would be most important in ensuring safe care?

A 52-year-old man was referred to the clinic due to increased abdominal girth.

He is diagnosed with ascites by the presence of a fluid thrill and shifting dullness on percussion. After administering diuretic therapy, which nursing action would be most effective in ensuring safe care?

A. Measuring serum potassium for hyperkalemia
B. Assessing the client for hypervolemia
C. Measuring the client’s weight weekly
D. Documenting precise intake and output

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