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

Inserting a tube into the bladder to drain urine.

Inserting a needle into the abdomen to withdraw fluid.

Administering a contrast dye and performing an X-ray.

Injecting medication into a joint for pain relief.

Answer and Explanation

The Correct Answer is B

Choice A reason:

Inserting a tube into the bladder to drain urine is not related to paracentesis, which involves withdrawing fluid from the abdominal cavity.

Choice B reason:

This statement is correct. Paracentesis is a procedure that involves inserting a needle into the abdomen to withdraw fluid from the abdominal cavity, typically to diagnose or relieve ascites.

Choice C reason:

Administering a contrast dye and performing an X-ray is not part of paracentesis and is not used to diagnose ascites.

Choice D reason:

Injecting medication into a joint for pain relief is not related to paracentesis or the management of ascites.

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Correct Answer is B

Explanation

Choice A reason:

Avoiding all physical activities is not recommended. Moderate physical activity can actually help improve circulation and fluid balance in the body.

Choice B reason:

This statement is correct. Limiting salt intake in the diet can help reduce fluid retention in clients with ascites, as excess sodium can contribute to fluid accumulation.

Choice C reason:

Increasing fluid intake may worsen fluid retention in clients with ascites. Clients with this condition should follow their healthcare provider's recommendations for fluid restriction.

Choice D reason:

A high-protein diet is not specifically indicated to promote reabsorption of fluid in the abdomen. It is essential for clients with cirrhosis and ascites to follow a balanced diet that meets their individual nutritional needs.

A. Weigh the client daily and record the weight in the chart. B. Measure vital signs every four hours to assess for changes. C. Assess urine output hourly and document the findings. D. Restrict fluid intake to prevent further fluid retention.

Correct Answer is A

Explanation

Choice A reason:

This statement is correct. Weighing the client daily and recording the weight in the chart is an essential intervention to monitor fluid balance and detect any changes in body weight, which can indicate fluid retention or loss.

Choice B reason:

Measuring vital signs every four hours is important for assessing the client's overall condition, but it does not directly monitor fluid balance or hydration status.

Choice C reason:

Assessing urine output hourly is important, especially for clients with ascites who may have altered kidney function. However, it may not provide a comprehensive assessment of the client's overall fluid balance.

Choice D reason:

Restricting fluid intake may not be appropriate for all clients with ascites, as fluid restriction could lead to dehydration and further imbalances in fluid and electrolyte levels.

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

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Naxlex Comprehensive Predictor Exams

A client with cirrhosis and ascites is receiving medical treatment to manage the fluid accumulation. The client asks the nurse about lifestyle changes that may help improve the condition. Which of the following responses by the nurse is accurate?

Correct Answer is B

Explanation

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?

Correct Answer is A

Explanation

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 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 dietary education to a client with ascites. Which of the following dietary restrictions should the nurse emphasize to reduce fluid accumulation in the abdominal cavity?

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 assessing a client with ascites. The nurse notices that the client's abdomen is distended, and the skin over the abdomen is taut and shiny. Which intervention should the nurse prioritize based on this assessment finding?

A client with ascites is experiencing respiratory distress and difficulty breathing. The nurse should prioritize which of the following nursing interventions?

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?

A client with ascites is experiencing discomfort and difficulty breathing due to fluid accumulation in the abdomen. What intervention should the nurse prioritize to provide immediate relief to the client?