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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A reason:

This statement is correct. Weighing the client daily and recording the weight in the chart is an essential intervention to monitor fluid balance and detect any changes in body weight, which can indicate fluid retention or loss.

Choice B reason:

Measuring vital signs every four hours is important for assessing the client's overall condition, but it does not directly monitor fluid balance or hydration status.

Choice C reason:

Assessing urine output hourly is important, especially for clients with ascites who may have altered kidney function. However, it may not provide a comprehensive assessment of the client's overall fluid balance.

Choice D reason:

Restricting fluid intake may not be appropriate for all clients with ascites, as fluid restriction could lead to dehydration and further imbalances in fluid and electrolyte levels.

A. Muscle weakness and fatigue. B. Increased urine output and dehydration. C. Hypotension and dizziness. D. Hyperkalemia and irregular heart rhythms.

Correct Answer is D

Explanation

Choice A reason:

Muscle weakness and fatigue are not commonly associated with spironolactone use.

Choice B reason:

Increased urine output and dehydration may occur with diuretics, but spironolactone is a potassium-sparing diuretic, so excessive urine output and dehydration are less likely to occur with this medication.

Choice C reason:

Hypotension and dizziness are potential side effects of some diuretics, but they are not specific to spironolactone use.

Choice D reason:

This statement is correct. Spironolactone is a potassium-sparing diuretic, which means it can lead to hyperkalemia (elevated potassium levels) if not monitored carefully. Hyperkalemia can cause irregular heart rhythms and other serious complications.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

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?

Correct Answer is D

Explanation

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?

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 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 suspected ascites is scheduled for paracentesis. The nurse explains to the client that this procedure involves:

A nurse is providing dietary education to a client with ascites. Which of the following dietary restrictions should the nurse emphasize to reduce fluid accumulation in the abdominal cavity?

A client with cirrhosis and ascites is receiving medical treatment to manage the fluid accumulation. The client asks the nurse about lifestyle changes that may help improve the condition. Which of the following responses by the nurse is accurate?

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?

A nurse is caring for a client with suspected ascites. In addition to imaging tests, which of the following diagnostic procedures can help determine the underlying cause of the ascites?