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:

Elevated blood glucose levels are not typically associated with ascites. Ascites is primarily related to fluid accumulation in the abdominal cavity, not glucose levels.

Choice B reason:

Increased white blood cell count may indicate infection or inflammation but is not directly related to the presence of ascites.

Choice C reason:

This statement is correct. Low albumin levels are commonly associated with ascites. Albumin is a protein produced by the liver that helps maintain fluid balance in the body. In liver disease, albumin levels may decrease, leading to fluid retention and the development of ascites.

Choice D reason:

Elevated thyroid-stimulating hormone (TSH) is not directly related to the presence of ascites.

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.

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