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.”

Answer and Explanation

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.

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Correct Answer is ["25"]

Explanation

Total volume to be infused = 50 mL
Infusion rate = 2 mL/min

Time required = Total volume / Infusion rate
= 50 mL ÷ 2 mL/min
= 25 minutes

A. Both require frequent surgery B. Both are inflammatory C. Both begin in the rectum D. Both manifest fistula formation

Correct Answer is B

Explanation

A. Both require frequent surgery: While surgery may be required for complications of UC or CD, not all cases require frequent surgery. UC is more likely to be treated with total colectomy, while Crohn’s often requires surgery for strictures, fistulas, or bowel obstruction.

B. Both are inflammatory: Both ulcerative colitis (UC) and Crohn’s disease (CD) are types of inflammatory bowel disease (IBD) characterized by chronic inflammation of the gastrointestinal tract.

C. Both begin in the rectum: Ulcerative colitis starts in the rectum and progresses proximally, while Crohn’s disease can occur anywhere along the gastrointestinal tract (mouth to anus) but most commonly affects the ileum and colon.

D. Both manifest fistula formation: Fistulas (abnormal connections between organs) are common in Crohn’s disease but not in ulcerative colitis.

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A client with cirrhosis is scheduled for a paracentesis. Which of the following statements indicate that the client understands the purpose of the procedure?

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Naxlex Comprehensive Predictor Exams

The nurse is reviewing an order of infuse 12.5 grams of V Albumin to the client. The albumin is dispensed as 12.5 grams in 50 mL bottles and can be infused at 2 mL/minute. How long will it take to administer this dose of Albumin.

Correct Answer is ["25"]

Explanation

A nurse is caring for a client who has ulcerative colitis and is teaching the client about the common link with Crohn's disease. Which of the following information should the nurse include?

Correct Answer is B

Explanation

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