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 C

Explanation

Choice A reason:

Excessive alcohol consumption can contribute to kidney damage, but it is not the primary cause of ascites in individuals with chronic alcohol abuse.

Choice B reason:

Increased bile production and obstruction are not directly related to the development of ascites in clients with alcohol abuse.

Choice C reason:

This statement is correct. Chronic alcohol abuse can lead to liver damage, particularly cirrhosis, which impairs the liver's ability to regulate fluid balance, leading to ascites.

Choice D reason:

Heart failure can result in fluid overload, but it is not directly related to the development of ascites in individuals with alcohol abuse.

A. Regulation of blood glucose levels. B. Maintenance of acid-base balance. C. Production of red blood cells. D. Filtration and excretion of waste products.

Correct Answer is D

Explanation

Choice A reason:

Regulation of blood glucose levels is not a primary function of the kidneys in fluid balance. It is primarily related to the endocrine system and insulin regulation.

Choice B reason:

Maintenance of acid-base balance is a critical function of the kidneys but is not directly related to fluid balance leading to ascites.

Choice C reason:

Production of red blood cells occurs in the bone marrow, not the kidneys. While the kidneys produce erythropoietin, a hormone that stimulates red blood cell production, this is not the primary function related to fluid balance.

Choice D reason:

This statement is correct. The kidneys' primary function related to fluid balance is filtration and excretion of waste products and excess fluid, which helps maintain proper fluid balance in the body. In chronic kidney disease (CKD), impaired kidney function can lead to fluid retention and contribute to the development 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 chronic alcohol abuse is at risk of developing ascites. The nurse explains that excessive alcohol consumption can contribute to ascites primarily by causing:

Correct Answer is C

Explanation

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:

Correct Answer is D

Explanation

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 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 liver cirrhosis and ascites is experiencing abdominal pain and discomfort. The nurse should recognize that this pain is primarily due to:

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 nurse is providing dietary education to a client with ascites. Which of the following dietary restrictions should the nurse emphasize to reduce fluid accumulation in the abdominal cavity?

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 nurse is educating a client with cirrhosis about measures to prevent ascites exacerbation. Which of the following instructions should the nurse include in the teaching?

A nurse is providing education to a client newly diagnosed with ascites. The client asks about the most common underlying cause of this condition. Which of the following responses by the nurse is accurate?