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 D

Explanation

Choice A reason:

Heart failure can lead to fluid retention in the body, but it is not the most common cause of ascites. Liver disease, such as cirrhosis, is the leading cause of ascites.

Choice B reason:

Kidney disease can result in fluid retention, but it is not the primary cause of ascites.

Choice C reason:

Lung cancer is not a common cause of ascites. Liver disease, particularly cirrhosis, is the most prevalent reason for this condition.

Choice D reason:

This statement is correct. Liver disease, particularly cirrhosis, is the leading cause of ascites due to its impact on fluid balance in the body.

A. Inserting a tube into the bladder to drain urine. B. Inserting a needle into the abdomen to withdraw fluid. C. Administering a contrast dye and performing an X-ray. D. Injecting medication into a joint for pain relief.

Correct Answer is B

Explanation

Choice A reason:

Inserting a tube into the bladder to drain urine is not related to paracentesis, which involves withdrawing fluid from the abdominal cavity.

Choice B reason:

This statement is correct. Paracentesis is a procedure that involves inserting a needle into the abdomen to withdraw fluid from the abdominal cavity, typically to diagnose or relieve ascites.

Choice C reason:

Administering a contrast dye and performing an X-ray is not part of paracentesis and is not used to diagnose ascites.

Choice D reason:

Injecting medication into a joint for pain relief is not related to paracentesis or the management of 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 nurse is providing education to a client newly diagnosed with ascites. The client asks about the most common underlying cause of this condition. Which of the following responses by the nurse is accurate?

Correct Answer is D

Explanation

A client with suspected ascites is scheduled for paracentesis. The nurse explains to the client that this procedure involves:

Correct Answer is B

Explanation

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 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 client with cirrhosis and ascites is receiving medical treatment to manage the fluid accumulation. The client asks the nurse about lifestyle changes that may help improve the condition. Which of the following responses by the nurse is accurate?

A nurse is assessing a client with ascites. The nurse notices that the client's abdomen is distended, and the skin over the abdomen is taut and shiny. Which intervention should the nurse prioritize based on this assessment finding?

A client with liver cirrhosis and ascites is experiencing abdominal pain and discomfort. The nurse should recognize that this pain is primarily due to:

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 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?