A nurse is caring for a client who has end-stage liver disease and is undergoing a paracentesis. Which of the following actions should the nurse take to evaluate the effectiveness of the procedure?

Confirm that the client is able to urinate.

Compare the client's current weight with preprocedure weight.

Examine for leakage at the site of the procedure.

Check the client's serum albumin levels.

Answer and Explanation

The Correct Answer is B

A.   While urine output is important, it is not the most direct indicator of the success of a paracentesis.
B.   Comparing the client's weight before and after the procedure helps to evaluate the effectiveness by showing a reduction in fluid buildup.
C.   Leakage at the site could indicate a complication, but it is not the primary measure of the procedure’s
effectiveness.
D.   Serum albumin levels may be monitored but are not the first indicator of success after a paracentesis.

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Correct Answer is C

Explanation

A. Tinnitus is not a common symptom of bacterial pneumonia.
B. Rhinorrhea (runny nose) is more commonly associated with viral infections, not bacterial pneumonia.
C. Malaise is a common symptom of bacterial pneumonia, as the infection causes generalized weakness and discomfort.
D. Drooling is not a common symptom of bacterial pneumonia, but it may be seen in conditions like throat infections.

A. Excessive sweating B. Metallic taste in mouth C. Dry cough D. Increased urinary frequency

Correct Answer is A

Explanation

A. Excessive sweating is a common side effect of selective serotonin reuptake inhibitors (SSRIs), including sertraline.
B. A metallic taste is more commonly associated with medications like certain antibiotics, not sertraline.
C. A dry cough is not a known side effect of sertraline; this might be seen with ACE inhibitors, for example.
D. Increased urinary frequency is not typically an adverse effect of sertraline.

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A nurse is caring for a client who has end-stage liver disease and is undergoing a paracentesis. Which of the following actions should the nurse take to evaluate the effectiveness of the procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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