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

Increased liver enzyme levels.

Gallstone formation in the gallbladder.

Stretching of the abdominal wall from fluid accumulation.

Inflammation of the pancreas.

Answer and Explanation

The Correct Answer is C

Choice A reason:

Increased liver enzyme levels are not directly related to the abdominal pain and discomfort experienced by the client with ascites. Elevated liver enzymes indicate liver damage, but they do not cause abdominal pain.

Choice B reason:

Gallstone formation in the gallbladder is not directly related to the abdominal pain and discomfort experienced by the client with ascites.

Choice C reason:

This statement is correct. The abdominal pain and discomfort experienced by the client with ascites are primarily due to the stretching of the abdominal wall from the accumulation of fluid in the abdominal cavity.

Choice D reason:

Inflammation of the pancreas (pancreatitis) is not directly related to the abdominal pain and discomfort experienced by the client with ascites.

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Correct Answer is D

Explanation

Choice A reason:

Administering diuretics may be part of the management plan, but it may not provide immediate relief to the client experiencing discomfort and difficulty breathing.

Choice B reason:

Elevating the head of the bed can help improve respiratory function, but placing the client in a side-lying position is more effective for facilitating fluid drainage from the abdomen and providing immediate relief to the client with ascites.

Choice C reason:

Deep breathing exercises are beneficial for improving lung capacity, but they may not provide immediate relief to the client experiencing discomfort and difficulty breathing due to ascites.

Choice D reason:

This statement is correct. Placing the client in a side-lying position helps to facilitate fluid drainage from the abdomen and can provide immediate relief to the client with ascites who is experiencing discomfort and difficulty breathing.

A. Kidney failure and fluid imbalance. B. Increased bile production and obstruction. C. Liver damage and impaired fluid regulation. D. Heart failure and cardiac fluid overload.

Correct Answer is C

Explanation

Choice A reason:

Excessive alcohol consumption can contribute to kidney damage, but it is not the primary cause of ascites in individuals with chronic alcohol abuse.

Choice B reason:

Increased bile production and obstruction are not directly related to the development of ascites in clients with alcohol abuse.

Choice C reason:

This statement is correct. Chronic alcohol abuse can lead to liver damage, particularly cirrhosis, which impairs the liver's ability to regulate fluid balance, leading to ascites.

Choice D reason:

Heart failure can result in fluid overload, but it is not directly related to the development of ascites in individuals with alcohol abuse.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

A client with chronic alcohol abuse is at risk of developing ascites. The nurse explains that excessive alcohol consumption can contribute to ascites primarily by causing:

Correct Answer is C

Explanation

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?

A client with hepatitis C asks the nurse about the risk of developing ascites. Which of the following factors related to hepatitis C may increase the client's likelihood of developing ascites?

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 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?

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 scheduled for a paracentesis to relieve discomfort and abdominal distention. What action should the nurse take before the procedure to ensure client safety?

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?

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