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malik malik
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A month ago
The patient with cirrhosis of the liver has significant ascites. The patient is cold, clammy, and confused. The nurse interprets these findings as indicating which physiological condition?
1.Increased preload from increased venous return to the heart
2.Decreased afterload from peripheral vasodilation
3.Decreased preload from a relative volume depletion
4.Increased afterload from ankle edema
Textbook 

High-Acuity Nursing


Edition: 6th
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Yeeeee89Yeeeee89
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A month ago
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The answer is 3
Rationales:
1. The patient's condition would not result in increased venous return to the heart.
2. The patient's condition would not result in peripheral vasodilation.
3. Ascites results in third-spacing of fluid derived from the circulating blood volume. This is relative volume depletion, as the volume is still within the body but no longer in the circulating volume. Decreased preload results in decreased cardiac output with resultant cold clammy skin and decreased mentation.
4. The patient may have ankle edema, but this finding is not as significant as another.
1

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