A client with Zollinger-Ellison syndrome will be admitted to the medical unit. Which intervention does the nurse include in the client's nursing plan of care?
a. Performing a urine test for ketones every morning before breakfast
b. Performing perineal care and applying a moisture barrier twice daily
c. Assessing the abdomen for fluid wave and shifting dullness every 8 hours
d. Keeping 2 units of packed red blood cells on hold at all times
B
Clients with Zollinger-Ellison syndrome often experience severe diarrhea and steatorrhea, so the nurse should include careful perineal care in the plan of care. Abdominal fluid wave testing and shifting dullness checks for ascites, which is not seen with Zollinger-Ellison syndrome. Ketones are not associated with this condition either. Blood transfusions are not part of the typical management plan for clients with Zollinger-Ellison syndrome, and blood would not be kept on hand unless the client was bleeding.
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