Final answer:
Dennis should manage ascites by restricting sodium, administering diuretics, monitoring fluid levels, providing dialysis treatments if necessary, preparing for potential paracentesis, and offering education and support, all under the direct supervision of a registered nurse.
Step-by-step explanation:
Dennis is tasked with the care of a client who has developed ascites as a result of liver failure. In managing ascites, it’s important to monitor and prevent further complications. The care plan should involve a balance between reducing fluid accumulation and maintaining proper nutrition. Important interventions include:
- Restricting sodium in the diet to help minimize fluid accumulation.
- Administering diuretics to remove excess fluid if prescribed by a healthcare provider.
- Monitoring weight and abdominal girth regularly to assess fluid retention.
- Maintaining a strict fluid balance chart, including inputs and outputs.
- Providing dialysis treatments if required, under the direct supervision of a registered nurse. This includes preparing equipment and ensuring sterile procedures are followed.
- Assessing for signs of complications such as spontaneous bacterial peritonitis (SBP) and hepatorenal syndrome (HRS).
- Preparing for potential procedures, such as paracentesis, to remove excess fluid from the abdominal cavity.
- Providing education and psychosocial support to the client and their family.
Overall, Dennis should focus on providing comprehensive care that addresses both the physiological and emotional needs of the client with ascites secondary to liver failure.