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 B

Explanation

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.

A. Elevated blood glucose levels. B. Increased white blood cell count. C. Low albumin levels. D. Elevated thyroid-stimulating hormone (TSH).

Correct Answer is C

Explanation

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.

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

Correct Answer is B

Explanation

A nurse is reviewing the results of a client's diagnostic tests to confirm the presence of ascites. Which of the following laboratory findings is commonly associated with ascites?

Correct Answer is C

Explanation

A client with ascites is admitted to the hospital. The nurse is assessing the client for potential complications related to fluid retention. Which of the following findings would be most concerning and require immediate intervention?

A client with ascites is scheduled for a paracentesis to relieve discomfort and abdominal distention. What action should the nurse take before the procedure to ensure client safety?

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A client with chronic liver disease and ascites reports feeling fatigued and weak. The nurse should recognize these symptoms as potential manifestations of:

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?

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?

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?

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: