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?

Choice A reason:

Ascites is not caused by an infection in the abdominal cavity. It is the result of fluid accumulation.

Choice B reason:

This statement is correct. Ascites is caused by the accumulation of excess fluid in the abdominal cavity, usually due to liver disease or other conditions that affect fluid balance in the body.

Choice C reason:

Blockage in the bile ducts may cause jaundice or other symptoms but is not the primary cause of ascites.

Choice D reason:

Ascites is not a genetic disorder and is not inherited from one's parents. It is a condition that develops due to various underlying medical conditions.

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.