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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
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.
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.
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