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 C
Explanation
Choice A reason:
Coughing and wheezing during physical activity are typical symptoms of congestive heart failure (CHF), but they do not directly indicate the presence of ascites.
Choice B reason:
Rapid and irregular heart rate at rest is a common manifestation of congestive heart failure (CHF) but does not directly indicate the presence of ascites.
Choice C reason:
This statement is correct. Ascites is characterized by the accumulation of fluid in the abdominal cavity, leading to swelling and distention in the lower abdomen.
Choice D reason:
Cold and clammy extremities are not typical manifestations of ascites and are not directly related to fluid overload in congestive heart failure (CHF).
Correct Answer is D
Explanation
Choice A reason:
Regulation of blood glucose levels is not a primary function of the kidneys in fluid balance. It is primarily related to the endocrine system and insulin regulation.
Choice B reason:
Maintenance of acid-base balance is a critical function of the kidneys but is not directly related to fluid balance leading to ascites.
Choice C reason:
Production of red blood cells occurs in the bone marrow, not the kidneys. While the kidneys produce erythropoietin, a hormone that stimulates red blood cell production, this is not the primary function related to fluid balance.
Choice D reason:
This statement is correct. The kidneys' primary function related to fluid balance is filtration and excretion of waste products and excess fluid, which helps maintain proper fluid balance in the body. In chronic kidney disease (CKD), impaired kidney function can lead to fluid retention and contribute to the development of ascites.
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