A client with severe ascites is undergoing therapeutic paracentesis. After the procedure, the nurse should monitor the client for which of the following complications?

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.

Choice A reason:

Hypoglycemia and confusion are not commonly associated with therapeutic paracentesis. They may be related to other factors or underlying conditions in the client.

Choice B reason:

This statement is correct. After therapeutic paracentesis, the client may experience hypovolemia (decreased blood volume) due to the removal of a large amount of fluid. This can lead to decreased urine output and other signs of fluid depletion.

Choice C reason:

Hyperglycemia and increased thirst are not directly related to therapeutic paracentesis and are not commonly associated with this procedure.

Choice D reason:

Hypothermia and shivering are not typical complications of therapeutic paracentesis. The procedure is performed under controlled conditions to minimize the risk of temperature-related complications.