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

Increased urine output and dehydration.

Visible abdominal swelling and distention.

Dry, cracked skin and itching.

Rapid and irregular heart rate.

Answer and Explanation

The Correct Answer is B

Choice A reason:

Increased urine output and dehydration are not typical findings in clients with ascites. Ascites involves fluid accumulation in the abdominal cavity, not fluid loss through the urinary system.

Choice B reason:

This statement is correct. Visible abdominal swelling and distention are characteristic signs of ascites, indicating the accumulation of fluid in the abdominal cavity.

Choice C reason:

Dry, cracked skin and itching are not specific to ascites and may be related to other conditions such as skin disorders or dehydration.

Choice D reason:

Rapid and irregular heart rate is not directly related to ascites. It may be associated with other conditions such as heart disease or infection.

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Correct Answer is D

Explanation

Choice A reason:

Regulation of blood glucose levels is not a primary function of the kidneys in fluid balance. It is primarily related to the endocrine system and insulin regulation.

Choice B reason:

Maintenance of acid-base balance is a critical function of the kidneys but is not directly related to fluid balance leading to ascites.

Choice C reason:

Production of red blood cells occurs in the bone marrow, not the kidneys. While the kidneys produce erythropoietin, a hormone that stimulates red blood cell production, this is not the primary function related to fluid balance.

Choice D reason:

This statement is correct. The kidneys' primary function related to fluid balance is filtration and excretion of waste products and excess fluid, which helps maintain proper fluid balance in the body. In chronic kidney disease (CKD), impaired kidney function can lead to fluid retention and contribute to the development of ascites.

A. Magnetic Resonance Imaging (MRI). B. Electroencephalogram (EEG). C. Positron Emission Tomography (PET) scan. D. Bone Density Scan (DEXA scan).

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.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with chronic kidney disease (CKD) is at risk of developing ascites due to impaired fluid regulation. The nurse explains that the kidneys' primary function related to fluid balance is:

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:

Correct Answer is A

Explanation

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?

A client with ascites presents with difficulty breathing and increased respiratory rate. The nurse should recognize these symptoms as a potential complication of ascites known as:

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 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 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 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 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?