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?

Coughing and wheezing during physical activity.

Rapid and irregular heart rate at rest.

Swelling and distention in the lower abdomen.

Cold and clammy extremities.

Answer and Explanation

The Correct Answer is C

Choice A reason:

Coughing and wheezing during physical activity are typical symptoms of congestive heart failure (CHF), but they do not directly indicate the presence of ascites.

Choice B reason:

Rapid and irregular heart rate at rest is a common manifestation of congestive heart failure (CHF) but does not directly indicate the presence of ascites.

Choice C reason:

This statement is correct. Ascites is characterized by the accumulation of fluid in the abdominal cavity, leading to swelling and distention in the lower abdomen.

Choice D reason:

Cold and clammy extremities are not typical manifestations of ascites and are not directly related to fluid overload in congestive heart failure (CHF).

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Correct Answer is B

Explanation

Choice A reason:

Hypoglycemia and confusion are not commonly associated with spironolactone use. They are unrelated to this medication.

Choice B reason:

This statement is correct. Spironolactone is a potassium-sparing diuretic, and one of its potential complications is hyperkalemia (elevated potassium levels). Hyperkalemia can lead to irregular heart rhythms and other serious cardiac problems.

Choice C reason:

Hypotension and dizziness may be potential side effects of certain diuretics but are not specific to spironolactone use.

Choice D reason:

Hypernatremia (elevated sodium levels) and increased thirst are not typically associated with spironolactone use.

A. Pleural effusion. B. Pneumonia. C. Pulmonary edema. D. Atelectasis.

Correct Answer is C

Explanation

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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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with ascites is prescribed spironolactone, a potassium-sparing diuretic. The nurse should monitor the client for which of the following complications related to the use of this medication?

Correct Answer is B

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:

Correct Answer is C

Explanation

A nurse is preparing a client for a diagnostic procedure to confirm the presence of ascites. Which of the following tests is commonly used to visualize and assess the abdominal fluid accumulation in ascites?

A nurse is assessing a client with suspected ascites. Which of the following findings would the nurse expect to observe during the physical examination?

A client with cirrhosis is undergoing diagnostic tests to assess the severity and extent of ascites. The nurse explains that an imaging test commonly used to evaluate the liver and abdominal organs in this client 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 client with suspected ascites is scheduled for paracentesis. The nurse explains to the client that this procedure involves:

A client with ascites is experiencing discomfort and difficulty breathing due to fluid accumulation in the abdomen. What intervention should the nurse prioritize to provide immediate relief to the client?

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 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?