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:

Monitoring the client's blood pressure during the procedure is essential, but the nurse should prioritize administering an analgesic before the paracentesis to reduce pain and ensure the client's comfort during the procedure.

Choice B reason:

This statement is correct. Administering an analgesic before the procedure can help reduce pain and discomfort associated with paracentesis.

Choice C reason:

Restricting the client's fluid intake before the procedure is not necessary, as paracentesis is typically performed to remove fluid from the abdominal cavity and provide relief for the client.

Choice D reason:

Maintaining a supine position during the procedure is not required. The nurse should position the client comfortably, which may include elevating the head of the bed or placing the client in a side-lying position to facilitate fluid drainage.

QUESTION

A. Limiting protein intake to prevent liver strain. B. Avoiding foods high in potassium to prevent electrolyte imbalances. C. Reducing sodium intake to minimize fluid retention. D. Increasing carbohydrate consumption for sustained energy.

Correct Answer is C

Explanation

Choice A reason:

Limiting protein intake is not typically recommended for clients with ascites, as protein is essential for maintaining muscle mass and overall health.

Choice B reason:

Avoiding foods high in potassium is important for clients with kidney problems, but it is not directly related to reducing fluid accumulation in the abdominal cavity for clients with ascites.

Choice C reason:

This statement is correct. Reducing sodium intake is essential to minimize fluid retention and help manage ascites. High sodium levels in the diet can lead to increased fluid retention in the body, exacerbating the accumulation of fluid in the abdominal cavity.

Choice D reason:

Increasing carbohydrate consumption for sustained energy is not directly related to reducing fluid accumulation in the abdominal cavity for clients with ascites.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

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?

Correct Answer is C

Explanation

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

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

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

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

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