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

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.

Choice A reason:

Hypoglycemia and confusion are not commonly associated with spironolactone use. They are unrelated to this medication.

Choice B reason:

This statement is correct. Spironolactone is a potassium-sparing diuretic, and one of its potential complications is hyperkalemia (elevated potassium levels). Hyperkalemia can lead to irregular heart rhythms and other serious cardiac problems.

Choice C reason:

Hypotension and dizziness may be potential side effects of certain diuretics but are not specific to spironolactone use.

Choice D reason:

Hypernatremia (elevated sodium levels) and increased thirst are not typically associated with spironolactone use.