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:

Pleural effusion.

Pneumonia.

Pulmonary edema.

Atelectasis.

Answer and Explanation

The Correct Answer is C

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.

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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.

A. Inserting a tube into the bladder to drain urine. B. Inserting a needle into the abdomen to withdraw fluid. C. Administering a contrast dye and performing an X-ray. D. Injecting medication into a joint for pain relief.

Correct Answer is B

Explanation

Choice A reason:

Inserting a tube into the bladder to drain urine is not related to paracentesis, which involves withdrawing fluid from the abdominal cavity.

Choice B reason:

This statement is correct. Paracentesis is a procedure that involves inserting a needle into the abdomen to withdraw fluid from the abdominal cavity, typically to diagnose or relieve ascites.

Choice C reason:

Administering a contrast dye and performing an X-ray is not part of paracentesis and is not used to diagnose ascites.

Choice D reason:

Injecting medication into a joint for pain relief is not related to paracentesis or the management of ascites.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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 suspected ascites is scheduled for paracentesis. The nurse explains to the client that this procedure involves:

Correct Answer is B

Explanation

A client with ascites is being monitored for signs of fluid accumulation and complications. The nurse should assess for which of the following early signs of ascites progression?

A nurse is caring for a client with suspected ascites. In addition to imaging tests, which of the following diagnostic procedures can help determine the underlying cause of the ascites?

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

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 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?

A client with severe ascites is undergoing therapeutic paracentesis. After the procedure, the nurse should monitor the client for which of the following complications?

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?