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?

Withhold all oral medications on the day of the procedure.

Administer an analgesic to the client to relieve pain during the procedure.

Assist the client in emptying the bladder before the procedure.

Ensure that the client has been fasting for at least 12 hours before the procedure.

Answer and Explanation

The Correct Answer is C

Choice A reason:

Withholding all oral medications on the day of the procedure may not be necessary and should be determined by the healthcare provider's instructions based on the specific medications the client is taking.

Choice B reason:

Administering an analgesic to the client before the procedure may be appropriate to relieve pain, but it should be prescribed and administered by the healthcare provider.

Choice C reason:

This statement is correct. Ensuring that the client has emptied the bladder before the paracentesis procedure is important to prevent any potential complications during the procedure.

Choice D reason:

Fasting for at least 12 hours before the procedure may not be necessary for a paracentesis, as it is typically a minor procedure and does not require prolonged fasting.

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Correct Answer is C

Explanation

Choice A reason:

Pleural effusion is fluid accumulation in the pleural cavity (around the lungs), and it can be associated with ascites, but it is not the specific complication described in the scenario.

Choice B reason:

Pneumonia is a lung infection and is not directly related to the difficulty breathing and increased respiratory rate described in the client with ascites.

Choice C reason:

This statement is correct. Pulmonary edema is a potential complication of ascites in which excess fluid accumulates in the lungs, leading to difficulty breathing and an increased respiratory rate.

Choice D reason:

Atelectasis is the collapse of part or all of a lung, and while it can be associated with difficulty breathing, it is not directly related to ascites.

A. "Avoid consuming alcoholic beverages to prevent fluid accumulation." B. "Increase your sodium intake to maintain proper fluid balance." C. "Engage in strenuous physical activities regularly to reduce fluid retention." D. "Consume a high-fat diet to promote liver function and prevent ascites."

Correct Answer is A

Explanation

Choice A reason:

This statement is correct. Avoiding alcoholic beverages is essential for clients with cirrhosis to prevent further liver damage and fluid accumulation leading to ascites.

Choice B reason:

Increasing sodium intake is not recommended for clients with ascites, as excess sodium can contribute to fluid retention.

Choice C reason:

Engaging in strenuous physical activities may not be appropriate for clients with cirrhosis and ascites, as excessive exertion can worsen fluid retention and increase the risk of complications.

Choice D reason:

A high-fat diet is not recommended for clients with cirrhosis and ascites. A balanced diet with appropriate protein and carbohydrate intake is more appropriate for managing this condition.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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:

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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