A client with ascites is experiencing respiratory distress and difficulty breathing. The nurse should prioritize which of the following nursing interventions?
Administering prescribed diuretics to reduce fluid volume.
Elevating the head of the bed to improve respiratory mechanics.
Providing oxygen therapy to enhance oxygen saturation.
Encouraging the client to perform deep breathing exercises.
The Correct Answer is B
Choice A reason:
Administering prescribed diuretics is essential in managing ascites, but it may not immediately address the client's respiratory distress.
Choice B reason:
This statement is correct. Elevating the head of the bed can improve respiratory mechanics and ease breathing for a client experiencing respiratory distress due to ascites.
Choice C reason:
Providing oxygen therapy is important for clients with respiratory distress, but it may not directly address the underlying cause of the distress in this situation.
Choice D reason:
Deep breathing exercises are beneficial for promoting lung expansion, but they may not be the priority in a client experiencing severe respiratory distress.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
Hypoglycemia and confusion are not commonly associated with therapeutic paracentesis. They may be related to other factors or underlying conditions in the client.
Choice B reason:
This statement is correct. After therapeutic paracentesis, the client may experience hypovolemia (decreased blood volume) due to the removal of a large amount of fluid. This can lead to decreased urine output and other signs of fluid depletion.
Choice C reason:
Hyperglycemia and increased thirst are not directly related to therapeutic paracentesis and are not commonly associated with this procedure.
Choice D reason:
Hypothermia and shivering are not typical complications of therapeutic paracentesis. The procedure is performed under controlled conditions to minimize the risk of temperature-related complications.
Correct Answer is B
Explanation
Choice A reason:
Inserting a tube into the bladder to drain urine is not related to paracentesis, which involves withdrawing fluid from the abdominal cavity.
Choice B reason:
This statement is correct. Paracentesis is a procedure that involves inserting a needle into the abdomen to withdraw fluid from the abdominal cavity, typically to diagnose or relieve ascites.
Choice C reason:
Administering a contrast dye and performing an X-ray is not part of paracentesis and is not used to diagnose ascites.
Choice D reason:
Injecting medication into a joint for pain relief is not related to paracentesis or the management of ascites.
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