A nurse is educating a client with cirrhosis about measures to prevent ascites exacerbation. Which of the following instructions should the nurse include in the teaching?

"Avoid consuming alcoholic beverages to prevent fluid accumulation."

"Increase your sodium intake to maintain proper fluid balance."

"Engage in strenuous physical activities regularly to reduce fluid retention."

"Consume a high-fat diet to promote liver function and prevent ascites."

Answer and Explanation

The Correct Answer is A

Choice A reason:

This statement is correct. Avoiding alcoholic beverages is essential for clients with cirrhosis to prevent further liver damage and fluid accumulation leading to ascites.

Choice B reason:

Increasing sodium intake is not recommended for clients with ascites, as excess sodium can contribute to fluid retention.

Choice C reason:

Engaging in strenuous physical activities may not be appropriate for clients with cirrhosis and ascites, as excessive exertion can worsen fluid retention and increase the risk of complications.

Choice D reason:

A high-fat diet is not recommended for clients with cirrhosis and ascites. A balanced diet with appropriate protein and carbohydrate intake is more appropriate for managing this condition.

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Correct Answer is B

Explanation

Choice A reason:

Hypoglycemia and confusion are not commonly associated with therapeutic paracentesis. They may be related to other factors or underlying conditions in the client.

Choice B reason:

This statement is correct. After therapeutic paracentesis, the client may experience hypovolemia (decreased blood volume) due to the removal of a large amount of fluid. This can lead to decreased urine output and other signs of fluid depletion.

Choice C reason:

Hyperglycemia and increased thirst are not directly related to therapeutic paracentesis and are not commonly associated with this procedure.

Choice D reason:

Hypothermia and shivering are not typical complications of therapeutic paracentesis. The procedure is performed under controlled conditions to minimize the risk of temperature-related complications.

A. Mild ankle edema. B. Moderate abdominal distention. C. Complaints of thirst and dry mouth. D. Respiratory distress and cyanosis.

Correct Answer is D

Explanation

Choice A reason:

Mild ankle edema is not uncommon in clients with fluid retention, such as ascites. While it requires monitoring, it does not indicate an immediate need for intervention.

Choice B reason:

Moderate abdominal distention is a common finding in clients with ascites and should be monitored, but it does not require immediate intervention.

Choice C reason:

Complaints of thirst and dry mouth may indicate dehydration, which should be addressed, but it does not require immediate intervention as other options.

Choice D reason:

This statement is correct. Respiratory distress and cyanosis are concerning findings in a client with ascites, as they may indicate severe pulmonary edema or other respiratory complications that require immediate intervention and medical attention.

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A nurse is educating a client with cirrhosis about measures to prevent ascites exacerbation. Which of the following instructions should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

A client with severe ascites is undergoing therapeutic paracentesis. After the procedure, the nurse should monitor the client for which of the following complications?

Correct Answer is B

Explanation

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?

Correct Answer is D

Explanation

A client with congestive heart failure (CHF) is at risk of developing ascites due to fluid overload. Which of the following manifestations may indicate the presence of ascites in this client?

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 cirrhosis is undergoing diagnostic tests to assess the severity and extent of ascites. The nurse explains that an imaging test commonly used to evaluate the liver and abdominal organs in this client is:

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?

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

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?

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?

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?