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 A

Explanation

A. Reduce the client's intake of protein: Protein metabolism produces ammonia, which worsens hepatic encephalopathy. Reducing dietary protein (especially red meat) helps lower ammonia levels. However, some protein is necessary, so a diet high in plant-based protein is preferred.

B. Administer vitamin K: Vitamin K is used to manage coagulopathy in liver disease but does not affect ammonia levels.

C. Restrict the client's intake of fluids: Fluid restriction is necessary for hyponatremia or ascites, but it does not help reduce ammonia levels.

D. Administer diuretics: Diuretics are used for ascites and edema, not ammonia reduction.

A. The client most likely has a diagnosis of pancreatic cancer." B. "I will carefully assess the newly formed ileostomy stoma every four hours" C. "Following this procedure, the client is at a higher risk for developing malabsorption issues.” D. "The recovery time after a Whipple procedure is long.”

Correct Answer is ["A","C","D"]

Explanation

A. "The client most likely has a diagnosis of pancreatic cancer." The Whipple procedure is primarily performed for pancreatic cancer, particularly in the head of the pancreas.

B. "I will carefully assess the newly formed ileostomy stoma every four hours." The Whipple procedure does not involve creating an ileostomy. It involves removal of the pancreas head, duodenum, gallbladder, and bile duct, with digestive tract reconstruction.

C. "Following this procedure, the client is at a higher risk for developing malabsorption issues." Since a portion of the pancreas is removed, clients may experience malabsorption and pancreatic enzyme insufficiency, leading to steatorrhea and nutrient deficiencies.

D. "The recovery time after a Whipple procedure is long." The Whipple procedure is major surgery with a prolonged recovery period due to the complexity of digestive system reconstruction and the risk of complications like delayed gastric emptying and anastomotic leakage.

E. "With this procedure completed, the client's prognosis is good." Pancreatic cancer has a poor prognosis even after a Whipple procedure. Survival rates remain low, and recurrence is common.

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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

A nurse is planning care for a client who has end-stage cirrhosis of the liver with hepatic encephalopathy. Which of the following interventions should the nurse plan to implement to decrease the client's ammonia level?

Correct Answer is A

Explanation

The nurse and the orientee are receiving a client from the Post Anesthesia Care Unit (PACU) following a Pancreaticoduodenectomy (Whipple) procedure What statements by the orientee indicate that teaching has been effective regarding this type of patient? (Select All that Apply

Correct Answer is ["A","C","D"]

Explanation

A nurse is planning care for a dent who has diverticulitis. The nurse should plan to monitor the client for which of the following complications of diverticulitis?

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A nurse is caring for a client who has diverticular disease. When palpating the client's abdomen, in which of the following locations should the nurse expect the client to report abdominal pain?

A nurse in a PACU is assessing a client who has a newly created colostomy. Which of the following findings should the nurse report to the provider?