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 C

Explanation

Choice A reason:

Withholding all oral medications on the day of the procedure may not be necessary and should be determined by the healthcare provider's instructions based on the specific medications the client is taking.

Choice B reason:

Administering an analgesic to the client before the procedure may be appropriate to relieve pain, but it should be prescribed and administered by the healthcare provider.

Choice C reason:

This statement is correct. Ensuring that the client has emptied the bladder before the paracentesis procedure is important to prevent any potential complications during the procedure.

Choice D reason:

Fasting for at least 12 hours before the procedure may not be necessary for a paracentesis, as it is typically a minor procedure and does not require prolonged fasting.

A. "The most common cause of ascites is heart failure." B. "Ascites is primarily caused by kidney disease." C. "The primary reason for ascites is lung cancer." D. "Liver disease is the leading cause of ascites."

Correct Answer is D

Explanation

Choice A reason:

Heart failure can lead to fluid retention in the body, but it is not the most common cause of ascites. Liver disease, such as cirrhosis, is the leading cause of ascites.

Choice B reason:

Kidney disease can result in fluid retention, but it is not the primary cause of ascites.

Choice C reason:

Lung cancer is not a common cause of ascites. Liver disease, particularly cirrhosis, is the most prevalent reason for this condition.

Choice D reason:

This statement is correct. Liver disease, particularly cirrhosis, is the leading cause of ascites due to its impact on fluid balance in the body.

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

Correct Answer is C

Explanation

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

Correct Answer is D

Explanation

A client with ascites is prescribed spironolactone, a potassium-sparing diuretic. The nurse instructs the client to monitor for which of the following adverse effects while taking this medication?

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 nurse is providing care to a client with ascites. Which intervention is essential for the nurse to implement to promote comfort and reduce abdominal distention?

A client with ascites is prescribed spironolactone, a potassium-sparing diuretic. The nurse should monitor the client for which of the following complications related to the use of this medication?

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 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?

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?