The nursing student is caring for a client with cancer of the abdomen. The client is experiencing the accumulation of fluid in the abdomen and dyspnea. The student nurse is aware that a complication of this type of cancer is:
a. ascites c. cachexia
b. anorexia d. stomatitis
A
Abdominal cancer may lead to ascites, which causes difficulty breathing as well as abdominal swelling. The nurse should regularly monitor the client's abdominal girth and observe for signs of normal peristalsis. It is important for the nurse to weigh the client daily to document weight gain. Keeping the client in Fowler's position will aid ventilation, and providing good skin care, particularly to the abdomen, is essential. The nurse may also support the client if the physician performs a paracentesis.
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