A client with liver cirrhosis presents with severe ascites. Which procedure should the nurse anticipate being performed to drain the accumulated fluid from the peritoneal cavity?
Paracentesis
Thoracentesis
Pleurodesis
Pericardiocentesis
The Correct Answer is A
A)Paracentesis is a procedure in which a needle or catheter is inserted into the peritoneal cavity to drain the accumulated fluid in clients with ascites. This procedure is performed to relieve abdominal pressure and discomfort, as well as to facilitate diagnostic testing on the ascitic fluid.
B) Thoracentesis is a procedure to drain fluid from the pleural cavity, which is the space surrounding the lungs. It is not used to treat ascites.
C) Pleurodesis is a procedure performed to create adhesions between the two layers of the pleura to prevent recurrent pleural effusions (fluid accumulation in the pleural cavity). It is not used to treat ascites.
D) Pericardiocentesis is a procedure to drain fluid from the pericardial sac surrounding the heart. It is not used to treat ascites.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) While MRI is also used to assess the liver, it may not be the first-line imaging modality for assessing the size and structure of the liver in clients with cirrhosis.
B) PET scans are mainly used to evaluate cellular metabolism and tissue function, including cancerous cells. While it can be helpful in detecting liver tumors, it may not be the primary choice for assessing liver size and structure in cirrhosis.
C) Computed tomography (CT) scan is commonly used to assess the liver's size, shape, and structure in clients with liver cirrhosis. CT provides detailed cross-sectional images of the liver, helping to identify any abnormalities, including liver nodules, fibrosis, and signs of portal hypertension.
D) An electroencephalogram (EEG) is a test used to record electrical activity in the brain. It is not used to assess the liver's size, shape, or structure in clients with liver cirrhosis.
Correct Answer is C
Explanation
A) Restricting fluid intake is not appropriate for managing ascites in clients with liver cirrhosis. Ascites occurs due to fluid accumulation in the peritoneal cavity and is not primarily influenced by oral fluid intake.
B) Encouraging a high-sodium diet is contraindicated in clients with ascites. High sodium intake can exacerbate fluid retention and worsen ascites. Instead, clients with ascites should be on a low-sodium diet to reduce fluid accumulation.
C) In a client with liver cirrhosis experiencing fluid retention and abdominal distension due to ascites, paracentesis is an essential intervention to drain the accumulated ascitic fluid from the abdominal cavity. Paracentesis helps to relieve discomfort, improve respiratory function, and reduce intra-abdominal pressure.
D) Diuretics are used in the management of ascites to promote urine output and reduce fluid retention. However, paracentesis is a more immediate intervention for relieving discomfort and removing a large volume of ascitic fluid.
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