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.

Answer and Explanation

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

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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.

A. Encouraging the client to lie flat in bed to reduce pressure on the abdomen. B. Administering laxatives to promote bowel movements and relieve bloating. C. Assisting the client with regular and gentle ambulation to facilitate fluid movement. D. Applying cold packs to the abdomen to reduce inflammation and swelling.

Correct Answer is C

Explanation

Choice A reason:

Encouraging the client to lie flat in bed may worsen abdominal distention and discomfort. It is better to promote positions that facilitate fluid drainage, such as elevating the head of the bed or placing the client in a side-lying position.

Choice B reason:

Administering laxatives may not be appropriate for ascites management and could lead to electrolyte imbalances. It is essential to manage bowel movements cautiously, considering the client's fluid and electrolyte status.

Choice C reason:

This statement is correct. Assisting the client with regular and gentle ambulation can help facilitate fluid movement and reduce abdominal distention. Movement helps stimulate peristalsis and may improve drainage of fluid from the abdominal cavity.

Choice D reason:

Applying cold packs to the abdomen may provide temporary relief for localized pain but will not directly address the underlying issue of ascites or reduce abdominal distention.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with hepatitis C asks the nurse about the risk of developing ascites. Which of the following factors related to hepatitis C may increase the client's likelihood of developing ascites?

Correct Answer is D

Explanation

A nurse is providing care to a client with ascites. Which intervention is essential for the nurse to implement to promote comfort and reduce abdominal distention?

Correct Answer is C

Explanation

A client with chronic alcohol abuse is at risk of developing ascites. The nurse explains that excessive alcohol consumption can contribute to ascites primarily by causing:

A client with congestive heart failure (CHF) is at risk of developing ascites due to fluid overload. Which of the following manifestations may indicate the presence of ascites in this client?

A client with ascites presents with difficulty breathing and increased respiratory rate. The nurse should recognize these symptoms as a potential complication of ascites known as:

A client with ascites is experiencing discomfort and difficulty breathing due to fluid accumulation in the abdomen. What intervention should the nurse prioritize to provide immediate relief to the client?

A client with cirrhosis is undergoing diagnostic tests to assess the severity and extent of ascites. The nurse explains that an imaging test commonly used to evaluate the liver and abdominal organs in this client is:

A client with chronic kidney disease (CKD) is at risk of developing ascites due to impaired fluid regulation. The nurse explains that the kidneys' primary function related to fluid balance is:

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

A client with ascites is prescribed spironolactone, a potassium-sparing diuretic. The nurse should monitor the client for which of the following complications related to the use of this medication?