The healthcare provider performs a paracentesis on a client with ascites and 3 liters of fluid are removed. Which assessment parameter is most critical for the nurse to monitor following the procedure?

Increased heart rate

Increased urine production

Increased mental alertness

Increased breath sounds

Answer and Explanation

The Correct Answer is A

Choice A rationale: This is because removing a large amount of fluid from the abdominal cavity can cause a sudden decrease in intra-abdominal pressure, which can lead to hypovolemia and hypotension. The body compensates by increasing the heart rate to maintain cardiac output and perfusion.

Choice B rationale: This is not directly related to paracentesis and may indicate other conditions.

Choice C rationale: This is not directly related to paracentesis and may indicate other conditions.

Choice D rationale: This is not directly related to paracentesis and may indicate other conditions.

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Correct Answer is A

Explanation

Choice A rationale: The correct answer is 5 units/hour. To calculate the units of insulin per hour, we need to use the following formula: units of insulin per hour = (units of insulin in the bag / volume of the bag) x infusion rate

Plugging in the given values, we get:

units of insulin per hour = (50 / 100) x 10 units of insulin per hour = 0.5 x 10

units of insulin per hour = 5

Therefore, the client is receiving 5 units of insulin every hour.

Choice B rationale: This is incorrect because it assumes that the infusion rate is equal to the units of insulin per hour, which is not true.

Choice C rationale: This is incorrect because it multiplies the units of insulin in the bag by the infusion rate, which is too high.

Choice D rationale: This is incorrect because it adds the units of insulin in the bag and the infusion rate, which is also too high.

A. Impaired urinary elimination related to obstructed flow of urine. B. Acute pain related to obstruction by the stone. C. Risk for urinary sepsis related to urinary stasis. D. Deficient knowledge related to need for prevention of recurrence of calculi.

Correct Answer is D

Explanation

Choice A rationale: Addressing the obstruction and restoring urinary flow is a priority to prevent complications.

Choice B rationale: Managing pain caused by the stone obstruction is essential for the client's comfort and well-being.

Choice C rationale: Preventing urinary stasis and subsequent infection is crucial to avoid sepsis.

Choice D rationale: Education about prevention, though important, might have a lower priority compared to addressing immediate complications like obstruction and pain.

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The healthcare provider performs a paracentesis on a client with ascites and 3 liters of fluid are removed. Which assessment parameter is most critical for the nurse to monitor following the procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is receiving 10 mL/hr of a prescribed regular insulin infusion. The label on the bag reads 50 units of regular insulin in 100 mL of 0.9% saline. How many units of insulin is the client receiving every hour? Fill in the blank. Round your answer to the nearest whole number.

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

What change indicates recovery in a patient with nephrotic syndrome?

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