A client with cirrhosis is scheduled for a paracentesis. Which of the following statements indicate that the client understands the purpose of the procedure?
“This procedure will cure my liver disease.”
“This procedure will remove fluid from my abdomen.”
“This procedure will help tower my ammonia levels.”
“This procedure will help reduce my risk of infection.”
The Correct Answer is B
A. "This procedure will cure my liver disease.": Paracentesis does not cure cirrhosis; it only helps manage complications.
B. "This procedure will remove fluid from my abdomen.": The primary purpose of paracentesis is to drain ascitic fluid and relieve abdominal distention, discomfort, and respiratory compromise.
C. "This procedure will help lower my ammonia levels.": Ammonia levels are managed through lactulose therapy and dietary modifications, not paracentesis.
D. "This procedure will help reduce my risk of infection.": While paracentesis may be performed to obtain fluid for infection evaluation (spontaneous bacterial peritonitis), it does not inherently reduce infection risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
peritonitis are present. Treating the underlying cause (perforation) is more urgent than lowering the fever.
B. Notify the healthcare provider: A hard, rigid abdomen with fever indicates possible perforation and peritonitis, which is a medical emergency. The provider must be notified immediately for urgent intervention.
C. Prepare to administer an enema: Enemas are contraindicated in acute diverticulitis due to the risk of perforation.
D. Continue to monitor the client closely: While continued monitoring is always necessary, immediate action (calling the provider) is critical when signs of peritonitis are present.
Correct Answer is B
Explanation
A. "Your colostomy will not produce formed stool.” A sigmoid colostomy produces formed stool because it is at the end of the large intestine, where water is absorbed.
B. "You will have a stoma in your left lower abdomen." A sigmoid colostomy is placed in the left lower quadrant (LLQ) of the abdomen.
C. "You should expect your stoma to be a purple color." A healthy stoma should be pink to red and moist. A purple, dusky, or dark-colored stoma may indicate ischemia and requires immediate evaluation.
D. "The end of the stoma will be painful after this procedure." The stoma itself does not have nerve endings, so it should not be painful. However, the surrounding abdominal incision may be sore.
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