What is the main pharmacological concern after performing a paracentesis?
Tachycardia
Hyperglycemia
Bowel Changes
Hypotension
The Correct Answer is D
Rationale:
A. Tachycardia may occur secondary to hypotension, but it is a secondary concern, not the primary pharmacological issue.
B. Paracentesis does not directly affect blood glucose levels.
C. While changes in bowel habits may occur with fluid shifts, they are not the primary concern after paracentesis.
D. Removal of large volumes of ascitic fluid can lead to intravascular volume depletion, resulting in hypotension. Monitoring blood pressure before, during, and after the procedure is essential, and volume replacement may be required to maintain hemodynamic stability.
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Related Questions
Correct Answer is C
Explanation
Rationale:
A. Seizures are more commonly associated with severe electrolyte imbalances like hyponatremia, not mild hypokalemia.
B. Neurogenic shock is related to spinal cord injury, not potassium imbalance.
C. Hypokalemia (potassium 3.3 mEq/L; normal 3.5–5.0 mEq/L) increases the risk of ventricular arrhythmias, palpitations, and potentially life-threatening cardiac complications, especially in clients taking diuretics like furosemide.
D. Low potassium does not directly cause hypoglycemia.
Correct Answer is B
Explanation
Rationale:
A. Restlessness can occur with electrolyte imbalances or hypoxia, but it is not a hallmark of low albumin or protein malnutrition.
B. Low serum albumin and total protein decrease plasma oncotic pressure, allowing fluid to shift from the vascular space into interstitial tissues, leading to peripheral and sometimes generalized edema (anasarca).
C. Pallor is more indicative of anemia, which may coexist but is not a direct effect of hypoalbuminemia.
D. Confusion can result from electrolyte disturbances, hypoxia, or hepatic encephalopathy, but it is not a direct manifestation of low albumin.
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