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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A reason:

An electrocardiogram (ECG) is used to assess heart rhythm and electrical activity, not to visualize ascites.

Choice B reason:

A chest X-ray is not specific to visualizing abdominal fluid accumulation and is not commonly used for diagnosing ascites.

Choice C reason:

This statement is correct. Abdominal ultrasound is commonly used to visualize and assess the presence of ascites by providing real-time images of the abdominal cavity, allowing healthcare providers to identify fluid accumulation.

Choice D reason:

A complete blood count (CBC) is a blood test that evaluates the number and types of blood cells. While it may be useful for other diagnostic purposes, it is not used to visualize ascites.

A. Monitoring the client's blood pressure for potential hypotension. B. Administering an analgesic before the procedure to reduce pain. C. Restricting the client's fluid intake before the procedure. D. Instructing the client to maintain a supine position during the procedure.

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

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing a client for a diagnostic procedure to confirm the presence of ascites. Which of the following tests is commonly used to visualize and assess the abdominal fluid accumulation in ascites?

Correct Answer is C

Explanation

A client with ascites is receiving paracentesis for therapeutic relief. Which action should the nurse prioritize during the procedure to ensure the client's safety and comfort?

Correct Answer is B

Explanation

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