The nurse is preparing discharge teaching for a client who has had a paracentesis. What information should be included in the education session?

Check blood glucose daily

Monitor for dark color of urine

Follow low carbohydrate diet

Change positions slowly

Answer and Explanation

The Correct Answer is D

A)   Checking blood glucose daily is not directly relevant unless the client also has diabetes.

B)   While this can indicate other health issues, it is not specific post-paracentesis advice.
C)   A low carbohydrate diet is not typically related to post-paracentesis care unless specified by the healthcare provider for other underlying conditions.
D)   Change positions slowly is important to prevent postural hypotension and falls after fluid removal during paracentesis. It prevent dizziness or lightheadedness due to fluid shifts or blood pressure changes after the procedure.

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Correct Answer is C

Explanation

A) Pancrelipase may be prescribed to aid in digestion in chronic pancreatitis but is not typically used in the acute phase.
B) While ambulation may be encouraged as tolerated, it is not a specific prescription for acute pancreatitis.
C) Pantoprazole, a proton pump inhibitor, is often prescribed in acute pancreatitis to reduce gastric acid secretion, thereby reducing pancreatic stimulation and promoting healing.
D) In acute pancreatitis, dietary intake is typically restricted initially, often starting with nothing by mouth (NPO) and progressing to a clear liquid diet as tolerated; a low-residue diet is usually introduced at a later stage.

A. Check blood glucose every 4 hours B. 2 gram sodium diet C. Bedrest D. Insert indwelling urinary catheter

Correct Answer is B

Explanation

A) Monitoring blood glucose is more relevant for diabetic care.

B) A sodium diet is appropriate for managing fluid retention associated with liver disease.
C) Bedrest may be prescribed but not as specific to the management of fluid retention.
D) Insertion of an indwelling urinary catheter is not a standard intervention without additional justification.

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The nurse is preparing discharge teaching for a client who has had a paracentesis. What information should be included in the education session?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who has acute pancreatitis. Which of the following provider prescriptions should the nurse anticipate?

Correct Answer is C

Explanation

The nurse is admitting a client with liver disease who presents with dyspnea, weight gain and abdominal distention. Which order would the nurse anticipate?

Correct Answer is B

Explanation

When planning care for a client with acute pancreatitis, which order would the nurse anticipate that will contribute to pain control?

The nurse is preparing a community presentation about hepatitis B virus (HBV). Which information should be included in the teaching session?

The nurse should evaluate results of which laboratory tests while caring for a client who has cirrhosis of the liver? Select all that apply.

An adult client is admitted to the emergency department with symptoms of acute pancreatitis. Which data support this diagnosis?

The client with cirrhosis is at risk for developing complications. Which condition is the most serious and potentially life-threatening?

When reviewing a client's health history, which information does the nurse identify as a risk factor for development of chronic pancreatitis?

The nurse is caring for a client with chronic pancreatitis who exhibits signs of malabsorption. The nurse recognizes that this is due to which pathophysiology process?

The nurse is admitting a client diagnosed with ascites. Which assessment finding would the nurse anticipate?