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

Hypoglycemia and confusion.

Hypovolemia and decreased urine output.

Hyperglycemia and increased thirst.

Hypothermia and shivering.

Answer and Explanation

The Correct Answer is B

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.

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Correct Answer is A

Explanation

Choice A reason:

This statement is correct. Magnetic Resonance Imaging (MRI) is commonly used to evaluate the liver and abdominal organs, providing detailed images that can help assess the severity and extent of ascites in clients with cirrhosis.

Choice B reason:

An electroencephalogram (EEG) is used to assess brain activity and is not directly related to the evaluation of ascites in clients with cirrhosis.

Choice C reason:

Positron Emission Tomography (PET) scan is used to visualize metabolic activity in body tissues and is not commonly used for evaluating ascites.

Choice D reason:

Bone Density Scan (DEXA scan) is used to assess bone health and is not directly related to the evaluation of ascites in clients with cirrhosis.

A. Electrolyte imbalances. B. Iron deficiency anemia. C. Hepatic encephalopathy. D. Malnutrition.

Correct Answer is D

Explanation

Choice A reason:

Electrolyte imbalances can occur in clients with ascites, but they are not directly related to the symptoms of fatigue and weakness described by the client.

Choice B reason:

Iron deficiency anemia may be present in clients with chronic liver disease, but it is not the primary cause of the client's fatigue and weakness in this scenario.

Choice C reason:

Hepatic encephalopathy is a complication of liver disease, but it typically presents with neurological symptoms such as confusion, altered mental status, and behavior changes, not fatigue and weakness.

Choice D reason:

This statement is correct. Fatigue and weakness are common symptoms in clients with chronic liver disease and ascites, and they can be related to malnutrition, which is often seen in these clients due to poor appetite, nutrient malabsorption, and other factors related to liver dysfunction.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with cirrhosis is undergoing diagnostic tests to assess the severity and extent of ascites. The nurse explains that an imaging test commonly used to evaluate the liver and abdominal organs in this client is:

Correct Answer is A

Explanation

A client with chronic liver disease and ascites reports feeling fatigued and weak. The nurse should recognize these symptoms as potential manifestations of:

Correct Answer is D

Explanation

A client with ascites is receiving paracentesis for therapeutic relief. Which action should the nurse prioritize during the procedure to ensure the client's safety and comfort?

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 nurse is educating a client with cirrhosis about measures to prevent ascites exacerbation. Which of the following instructions should the nurse include in the teaching?

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

A client with ascites is at risk of developing fluid and electrolyte imbalances. Which nursing intervention should be implemented to monitor the client's fluid balance and hydration status effectively?

A client with ascites is prescribed spironolactone, a potassium-sparing diuretic. The nurse should monitor the client for which of the following complications related to the use of this medication?

A nurse is providing care to a client with ascites. Which intervention is essential for the nurse to implement to promote comfort and reduce abdominal distention?