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?
Administering diuretics to increase urine output.
Elevating the head of the bed to promote respiratory function.
Encouraging deep breathing exercises to improve lung capacity.
Placing the client in a side-lying position to facilitate fluid drainage.
The Correct Answer is D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
Monitoring the client's blood pressure during the procedure is essential, but the nurse should prioritize administering an analgesic before the paracentesis to reduce pain and ensure the client's comfort during the procedure.
Choice B reason:
This statement is correct. Administering an analgesic before the procedure can help reduce pain and discomfort associated with paracentesis.
Choice C reason:
Restricting the client's fluid intake before the procedure is not necessary, as paracentesis is typically performed to remove fluid from the abdominal cavity and provide relief for the client.
Choice D reason:
Maintaining a supine position during the procedure is not required. The nurse should position the client comfortably, which may include elevating the head of the bed or placing the client in a side-lying position to facilitate fluid drainage.
QUESTION
Correct Answer is B
Explanation
Choice A reason:
Hypoglycemia and confusion are not commonly associated with spironolactone use. They are unrelated to this medication.
Choice B reason:
This statement is correct. Spironolactone is a potassium-sparing diuretic, and one of its potential complications is hyperkalemia (elevated potassium levels). Hyperkalemia can lead to irregular heart rhythms and other serious cardiac problems.
Choice C reason:
Hypotension and dizziness may be potential side effects of certain diuretics but are not specific to spironolactone use.
Choice D reason:
Hypernatremia (elevated sodium levels) and increased thirst are not typically associated with spironolactone use.
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