A client with ascites is being monitored for signs of fluid accumulation and complications. The nurse should assess for which of the following early signs of ascites progression?

Increased urine output and dehydration.

Weight loss and decreased abdominal girth.

Visible abdominal swelling and distention.

Reduced ankle edema and lower extremity swelling.

Answer and Explanation

The Correct Answer is C

Choice A reason:

Increased urine output and dehydration are not early signs of ascites progression. Ascites involves fluid accumulation in the abdominal cavity, not fluid loss through the urinary system.

Choice B reason:

Weight loss and decreased abdominal girth are not early signs of ascites progression. Ascites typically leads to increased abdominal girth and swelling.

Choice C reason:

This statement is correct. Visible abdominal swelling and distention are early signs of ascites progression. As fluid accumulates in the abdominal cavity, the abdomen may become visibly swollen and distended.

Choice D reason:

Reduced ankle edema and lower extremity swelling are not early signs of ascites progression. Ascites primarily affects the abdominal cavity, not the extremities.

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Correct Answer is D

Explanation

Choice A reason:

Administering diuretics may be part of the management plan, but it may not provide immediate relief to the client experiencing discomfort and difficulty breathing.

Choice B reason:

Elevating the head of the bed can help improve respiratory function, but placing the client in a side-lying position is more effective for facilitating fluid drainage from the abdomen and providing immediate relief to the client with ascites.

Choice C reason:

Deep breathing exercises are beneficial for improving lung capacity, but they may not provide immediate relief to the client experiencing discomfort and difficulty breathing due to ascites.

Choice D reason:

This statement is correct. Placing the client in a side-lying position helps to facilitate fluid drainage from the abdomen and can provide immediate relief to the client with ascites who is experiencing discomfort and difficulty breathing.

A. Electrocardiogram (ECG). B. Chest X-ray. C. Abdominal ultrasound. D. Complete blood count (CBC).

Correct Answer is C

Explanation

Choice A reason:

An electrocardiogram (ECG) is used to assess heart rhythm and electrical activity, not to visualize ascites.

Choice B reason:

A chest X-ray is not specific to visualizing abdominal fluid accumulation and is not commonly used for diagnosing ascites.

Choice C reason:

This statement is correct. Abdominal ultrasound is commonly used to visualize and assess the presence of ascites by providing real-time images of the abdominal cavity, allowing healthcare providers to identify fluid accumulation.

Choice D reason:

A complete blood count (CBC) is a blood test that evaluates the number and types of blood cells. While it may be useful for other diagnostic purposes, it is not used to visualize ascites.

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A client with ascites is being monitored for signs of fluid accumulation and complications. The nurse should assess for which of the following early signs of ascites progression?

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Naxlex Comprehensive Predictor Exams

A client with ascites is experiencing discomfort and difficulty breathing due to fluid accumulation in the abdomen. What intervention should the nurse prioritize to provide immediate relief to the client?

Correct Answer is D

Explanation

A nurse is preparing a client for a diagnostic procedure to confirm the presence of ascites. Which of the following tests is commonly used to visualize and assess the abdominal fluid accumulation in ascites?

Correct Answer is C

Explanation

A client with hepatitis C asks the nurse about the risk of developing ascites. Which of the following factors related to hepatitis C may increase the client's likelihood of developing ascites?

A client with ascites presents with difficulty breathing and increased respiratory rate. The nurse should recognize these symptoms as a potential complication of ascites known as:

A client with ascites is receiving paracentesis for therapeutic relief. Which action should the nurse prioritize during the procedure to ensure the client's safety and comfort?

A nurse is assessing a client with suspected ascites. Which of the following findings would the nurse expect to observe during the physical examination?

A client with cirrhosis is undergoing diagnostic tests to assess the severity and extent of ascites. The nurse explains that an imaging test commonly used to evaluate the liver and abdominal organs in this client is:

A client with chronic kidney disease (CKD) is at risk of developing ascites due to impaired fluid regulation. The nurse explains that the kidneys' primary function related to fluid balance is:

A client with ascites is at risk of developing fluid and electrolyte imbalances. Which nursing intervention should be implemented to monitor the client's fluid balance and hydration status effectively?

A client with congestive heart failure (CHF) is at risk of developing ascites due to fluid overload. Which of the following manifestations may indicate the presence of ascites in this client?