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. Increased liver enzyme levels. B. Gallstone formation in the gallbladder. C. Stretching of the abdominal wall from fluid accumulation. D. Inflammation of the pancreas.

Correct Answer is C

Explanation

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

Correct Answer is C

Explanation

A nurse is providing education to a client newly diagnosed with ascites. The client asks about the 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 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 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 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 chronic alcohol abuse is at risk of developing ascites. The nurse explains that excessive alcohol consumption can contribute to ascites primarily by causing:

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