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 D

Explanation

Choice A reason:

Heart failure can lead to fluid retention in the body, but it is not the most common cause of ascites. Liver disease, such as cirrhosis, is the leading cause of ascites.

Choice B reason:

Kidney disease can result in fluid retention, but it is not the primary cause of ascites.

Choice C reason:

Lung cancer is not a common cause of ascites. Liver disease, particularly cirrhosis, is the most prevalent reason for this condition.

Choice D reason:

This statement is correct. Liver disease, particularly cirrhosis, is the leading cause of ascites due to its impact on fluid balance in the body.

A. Muscle weakness and fatigue. B. Increased urine output and dehydration. C. Hypotension and dizziness. D. Hyperkalemia and irregular heart rhythms.

Correct Answer is D

Explanation

Choice A reason:

Muscle weakness and fatigue are not commonly associated with spironolactone use.

Choice B reason:

Increased urine output and dehydration may occur with diuretics, but spironolactone is a potassium-sparing diuretic, so excessive urine output and dehydration are less likely to occur with this medication.

Choice C reason:

Hypotension and dizziness are potential side effects of some diuretics, but they are not specific to spironolactone use.

Choice D reason:

This statement is correct. Spironolactone is a potassium-sparing diuretic, which means it can lead to hyperkalemia (elevated potassium levels) if not monitored carefully. Hyperkalemia can cause irregular heart rhythms and other serious complications.

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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 most common underlying cause of this condition. Which of the following responses by the nurse is accurate?

Correct Answer is D

Explanation

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?

Correct Answer is D

Explanation

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 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 nurse is reviewing the results of a client's diagnostic tests to confirm the presence of ascites. Which of the following laboratory findings is commonly associated with ascites?

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?

A client with suspected ascites is scheduled for paracentesis. The nurse explains to the client that this procedure involves:

A client with ascites is at risk of developing fluid and electrolyte imbalances. Which nursing intervention should be implemented to monitor the client's fluid balance and hydration status effectively?

A client with ascites is prescribed spironolactone, a potassium-sparing diuretic. The nurse should monitor the client for which of the following complications related to the use of this medication?

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