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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
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.
Correct Answer is A
Explanation
Choice A reason:
This statement is correct. Weighing the client daily and recording the weight in the chart is an essential intervention to monitor fluid balance and detect any changes in body weight, which can indicate fluid retention or loss.
Choice B reason:
Measuring vital signs every four hours is important for assessing the client's overall condition, but it does not directly monitor fluid balance or hydration status.
Choice C reason:
Assessing urine output hourly is important, especially for clients with ascites who may have altered kidney function. However, it may not provide a comprehensive assessment of the client's overall fluid balance.
Choice D reason:
Restricting fluid intake may not be appropriate for all clients with ascites, as fluid restriction could lead to dehydration and further imbalances in fluid and electrolyte levels.
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