NCLEX-RN · Question #643
A 48-year-old male client is hospitalized with mild ascites, bruising, and jaundice. He has a 20- year history of alcohol abuse. The client is diagnosed with cirrhosis. His serum ammonia level is…
The correct answer is A. Lifting heavy objects. (A) Lifting heavy objects will increase intrathoracic pressure, thus placing the client at risk for rupturing esophageal varices. (B, C, D) This activity will not cause an increase in intrathoracic pressure.
Question
A 48-year-old male client is hospitalized with mild ascites, bruising, and jaundice. He has a 20- year history of alcohol abuse. The client is diagnosed with cirrhosis. His serum ammonia level is high,indicating hepatic encephalopathy. He has esophageal varices. Which of the following may cause the varices to rupture?
Options
- ALifting heavy objects
- BWalking briskly
- CIngestion of barbiturates
- DIngestion of antacids
How the community answered
(27 responses)- A81% (22)
- B11% (3)
- C4% (1)
- D4% (1)
Explanation
(A) Lifting heavy objects will increase intrathoracic pressure, thus placing the client at risk for rupturing esophageal varices. (B, C, D) This activity will not cause an increase in intrathoracic pressure.
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