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:

Kidney failure and fluid imbalance.

Increased bile production and obstruction.

Liver damage and impaired fluid regulation.

Heart failure and cardiac fluid overload.

Answer and Explanation

The Correct Answer is C

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.

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Correct Answer is C

Explanation

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.

A. Limiting protein intake to prevent liver strain. B. Avoiding foods high in potassium to prevent electrolyte imbalances. C. Reducing sodium intake to minimize fluid retention. D. Increasing carbohydrate consumption for sustained energy.

Correct Answer is C

Explanation

Choice A reason:

Limiting protein intake is not typically recommended for clients with ascites, as protein is essential for maintaining muscle mass and overall health.

Choice B reason:

Avoiding foods high in potassium is important for clients with kidney problems, but it is not directly related to reducing fluid accumulation in the abdominal cavity for clients with ascites.

Choice C reason:

This statement is correct. Reducing sodium intake is essential to minimize fluid retention and help manage ascites. High sodium levels in the diet can lead to increased fluid retention in the body, exacerbating the accumulation of fluid in the abdominal cavity.

Choice D reason:

Increasing carbohydrate consumption for sustained energy is not directly related to reducing fluid accumulation in the abdominal cavity for clients with ascites.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

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?

Correct Answer is C

Explanation

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 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 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 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 receiving paracentesis for therapeutic relief. Which action should the nurse prioritize during the procedure to ensure the client's safety and comfort?

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?

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?