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. Endoscopy can be used to visualize the upper gastrointestinal tract and assess for potential sources of bleeding or varices in the esophagus, which can be related to ascites in clients with liver disease.

Choice B reason:

Cardiac catheterization is used to assess the heart and blood vessels and is not directly related to determining the underlying cause of ascites.

Choice C reason:

Lumbar puncture is performed to obtain cerebrospinal fluid for diagnostic purposes and is not typically used to evaluate ascites.

Choice D reason:

Pulmonary function tests are used to assess lung function and are not directly related to determining the underlying cause of ascites.

A. Muscle weakness and fatigue. B. Increased urine output and dehydration. C. Hypotension and dizziness. D. Hyperkalemia and irregular heart rhythms.

Correct Answer is D

Explanation

Choice A reason:

Muscle weakness and fatigue are not commonly associated with spironolactone use.

Choice B reason:

Increased urine output and dehydration may occur with diuretics, but spironolactone is a potassium-sparing diuretic, so excessive urine output and dehydration are less likely to occur with this medication.

Choice C reason:

Hypotension and dizziness are potential side effects of some diuretics, but they are not specific to spironolactone use.

Choice D reason:

This statement is correct. Spironolactone is a potassium-sparing diuretic, which means it can lead to hyperkalemia (elevated potassium levels) if not monitored carefully. Hyperkalemia can cause irregular heart rhythms and other serious complications.

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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?

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

A client with ascites is prescribed spironolactone, a potassium-sparing diuretic. The nurse instructs the client to monitor for which of the following adverse effects while taking this medication?

Correct Answer is D

Explanation

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:

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 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 client with ascites is admitted to the hospital. The nurse is assessing the client for potential complications related to fluid retention. Which of the following findings would be most concerning and require immediate intervention?

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 nurse is assessing a client with suspected ascites. Which of the following findings would the nurse expect to observe during the physical examination?

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A client with suspected ascites is scheduled for paracentesis. The nurse explains to the client that this procedure involves: