A nurse is caring for a client with suspected ascites. In addition to imaging tests, which of the following diagnostic procedures can help determine the underlying cause of the ascites?

Endoscopy.

Cardiac catheterization.

Lumbar puncture.

Pulmonary function test.

Answer and Explanation

The Correct Answer is A

Choice A reason:

This statement is correct. Endoscopy can be used to visualize the upper gastrointestinal tract and assess for potential sources of bleeding or varices in the esophagus, which can be related to ascites in clients with liver disease.

Choice B reason:

Cardiac catheterization is used to assess the heart and blood vessels and is not directly related to determining the underlying cause of ascites.

Choice C reason:

Lumbar puncture is performed to obtain cerebrospinal fluid for diagnostic purposes and is not typically used to evaluate ascites.

Choice D reason:

Pulmonary function tests are used to assess lung function and are not directly related to determining the underlying cause of ascites.

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Correct Answer is B

Explanation

Choice A reason:

Ascites is not caused by an infection in the abdominal cavity. It is the result of fluid accumulation.

Choice B reason:

This statement is correct. Ascites is caused by the accumulation of excess fluid in the abdominal cavity, usually due to liver disease or other conditions that affect fluid balance in the body.

Choice C reason:

Blockage in the bile ducts may cause jaundice or other symptoms but is not the primary cause of ascites.

Choice D reason:

Ascites is not a genetic disorder and is not inherited from one's parents. It is a condition that develops due to various underlying medical conditions.

A. Withhold all oral medications on the day of the procedure. B. Administer an analgesic to the client to relieve pain during the procedure. C. Assist the client in emptying the bladder before the procedure. D. Ensure that the client has been fasting for at least 12 hours before the procedure.

Correct Answer is C

Explanation

Choice A reason:

Withholding all oral medications on the day of the procedure may not be necessary and should be determined by the healthcare provider's instructions based on the specific medications the client is taking.

Choice B reason:

Administering an analgesic to the client before the procedure may be appropriate to relieve pain, but it should be prescribed and administered by the healthcare provider.

Choice C reason:

This statement is correct. Ensuring that the client has emptied the bladder before the paracentesis procedure is important to prevent any potential complications during the procedure.

Choice D reason:

Fasting for at least 12 hours before the procedure may not be necessary for a paracentesis, as it is typically a minor procedure and does not require prolonged fasting.

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A nurse is caring for a client with suspected ascites. In addition to imaging tests, which of the following diagnostic procedures can help determine the underlying cause of the ascites?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

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?

Correct Answer is C

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?

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 is admitted to the hospital. The nurse is assessing the client for potential complications related to fluid retention. Which of the following findings would be most concerning and require immediate intervention?

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A nurse is caring for a client with suspected ascites. In addition to imaging tests, which of the following diagnostic procedures can help determine the underlying cause of the ascites?