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 A

Explanation

Choice A reason:

This statement is correct. Measuring abdominal girth and documenting findings are essential to monitor changes in fluid accumulation and assess the effectiveness of interventions.

Choice B reason:

Elevating the client's legs may help with edema in the lower extremities but will not directly address the fluid accumulation in the abdominal cavity.

Choice C reason:

Administering diuretics may be part of the management plan for ascites, but it may not be the initial intervention to address the client's current condition.

Choice D reason:

Applying an abdominal binder may be beneficial in certain cases, but it will not directly address the underlying cause of ascites or reduce fluid accumulation in the abdomen.

A. Kidney failure and fluid imbalance. B. Increased bile production and obstruction. C. Liver damage and impaired fluid regulation. D. Heart failure and cardiac fluid overload.

Correct Answer is C

Explanation

Choice A reason:

Excessive alcohol consumption can contribute to kidney damage, but it is not the primary cause of ascites in individuals with chronic alcohol abuse.

Choice B reason:

Increased bile production and obstruction are not directly related to the development of ascites in clients with alcohol abuse.

Choice C reason:

This statement is correct. Chronic alcohol abuse can lead to liver damage, particularly cirrhosis, which impairs the liver's ability to regulate fluid balance, leading to ascites.

Choice D reason:

Heart failure can result in fluid overload, but it is not directly related to the development of ascites in individuals with alcohol abuse.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client with ascites. The nurse notices that the client's abdomen is distended, and the skin over the abdomen is taut and shiny. Which intervention should the nurse prioritize based on this assessment finding?

Correct Answer is A

Explanation

A client with chronic alcohol abuse is at risk of developing ascites. The nurse explains that excessive alcohol consumption can contribute to ascites primarily by causing:

Correct Answer is C

Explanation

A client with liver cirrhosis and ascites is experiencing abdominal pain and discomfort. The nurse should recognize that this pain is primarily due to:

A client with ascites is experiencing respiratory distress and difficulty breathing. The nurse should prioritize which of the following nursing interventions?

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 nurse is providing education to a client newly diagnosed with ascites. The client asks about the underlying cause of this condition. Which of the following responses by the nurse is accurate?

A client with ascites is scheduled for a paracentesis to relieve discomfort and abdominal distention. What action should the nurse take before the procedure to ensure client safety?

A nurse is educating a client with cirrhosis about measures to prevent ascites exacerbation. Which of the following instructions should the nurse include in the teaching?

A client with severe ascites is undergoing therapeutic paracentesis. After the procedure, the nurse should monitor the client for which of the following complications?

A client with ascites is admitted to the hospital. The nurse is assessing the client for potential complications related to fluid retention. Which of the following findings would be most concerning and require immediate intervention?