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?
Monitoring the client's blood pressure for potential hypotension.
Administering an analgesic before the procedure to reduce pain.
Restricting the client's fluid intake before the procedure.
Instructing the client to maintain a supine position during the procedure.
The Correct Answer is B
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
Heart failure can lead to fluid retention in the body, but it is not the most common cause of ascites. Liver disease, such as cirrhosis, is the leading cause of ascites.
Choice B reason:
Kidney disease can result in fluid retention, but it is not the primary cause of ascites.
Choice C reason:
Lung cancer is not a common cause of ascites. Liver disease, particularly cirrhosis, is the most prevalent reason for this condition.
Choice D reason:
This statement is correct. Liver disease, particularly cirrhosis, is the leading cause of ascites due to its impact on fluid balance in the body.
Correct Answer is D
Explanation
Choice A reason:
Elevated blood glucose levels and insulin resistance are not directly related to the development of ascites in clients with hepatitis C.
Choice B reason:
Impaired blood clotting and increased bleeding tendencies are not directly associated with the development of ascites in clients with hepatitis C.
Choice C reason:
Altered immune response and increased infection risk are not the primary factors contributing to ascites in clients with hepatitis C.
Choice D reason:
This statement is correct. Chronic hepatitis C infection can lead to liver inflammation and fibrosis, which, in turn, can progress to cirrhosis, increasing the risk of developing ascites.
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