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 D
Explanation
A) Iron supplements are not indicated in the care of a client with liver cirrhosis and esophageal varices. The client's condition is related to portal hypertension and the risk of variceal bleeding, not blood clotting.
B) Monitoring fluid balance and daily weights is important in managing clients with liver cirrhosis, especially those with ascites. However, it is not the essential intervention specific to clients at risk of developing esophageal varices.
C) Elevating the head of the bed is a standard intervention to prevent aspiration in clients with various medical conditions. However, it is not the essential intervention specific to clients at risk of esophageal varices.
D) Encouraging the client to avoid straining during bowel movements is essential in the care of a client at risk of developing esophageal varices. Straining during bowel movements can increase intra-abdominal pressure, which may lead to increased pressure in the portal vein, potentially exacerbating portal hypertension and increasing the risk of variceal bleeding.
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.
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