A nurse is providing care to a client with ascites. Which intervention is essential for the nurse to implement to promote comfort and reduce abdominal distention?

Encouraging the client to lie flat in bed to reduce pressure on the abdomen.

Administering laxatives to promote bowel movements and relieve bloating.

Assisting the client with regular and gentle ambulation to facilitate fluid movement.

Applying cold packs to the abdomen to reduce inflammation and swelling.

Answer and Explanation

The Correct Answer is C

Choice A reason:

Encouraging the client to lie flat in bed may worsen abdominal distention and discomfort. It is better to promote positions that facilitate fluid drainage, such as elevating the head of the bed or placing the client in a side-lying position.

Choice B reason:

Administering laxatives may not be appropriate for ascites management and could lead to electrolyte imbalances. It is essential to manage bowel movements cautiously, considering the client's fluid and electrolyte status.

Choice C reason:

This statement is correct. Assisting the client with regular and gentle ambulation can help facilitate fluid movement and reduce abdominal distention. Movement helps stimulate peristalsis and may improve drainage of fluid from the abdominal cavity.

Choice D reason:

Applying cold packs to the abdomen may provide temporary relief for localized pain but will not directly address the underlying issue of ascites or reduce abdominal distention.

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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. Limiting protein intake to prevent liver strain. B. Avoiding foods high in potassium to prevent electrolyte imbalances. C. Reducing sodium intake to minimize fluid retention. D. Increasing carbohydrate consumption for sustained energy.

Correct Answer is C

Explanation

Choice A reason:

Limiting protein intake is not typically recommended for clients with ascites, as protein is essential for maintaining muscle mass and overall health.

Choice B reason:

Avoiding foods high in potassium is important for clients with kidney problems, but it is not directly related to reducing fluid accumulation in the abdominal cavity for clients with ascites.

Choice C reason:

This statement is correct. Reducing sodium intake is essential to minimize fluid retention and help manage ascites. High sodium levels in the diet can lead to increased fluid retention in the body, exacerbating the accumulation of fluid in the abdominal cavity.

Choice D reason:

Increasing carbohydrate consumption for sustained energy is not directly related to reducing fluid accumulation in the abdominal cavity for clients with ascites.

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A nurse is providing care to a client with ascites. Which intervention is essential for the nurse to implement to promote comfort and reduce abdominal distention?

Nursing Test Bank

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 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?

Correct Answer is C

Explanation

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?

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

A client with ascites is being monitored for signs of fluid accumulation and complications. The nurse should assess for which of the following early signs of ascites progression?

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?

A client with liver cirrhosis and ascites is experiencing abdominal pain and discomfort. The nurse should recognize that this pain is primarily due to:

A client with hepatitis C asks the nurse about the risk of developing ascites. Which of the following factors related to hepatitis C may increase the client's likelihood of developing ascites?

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 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?