A client with cirrhosis is scheduled for a paracentesis. Which of the following statements indicate that the client understands the purpose of the procedure?

“This procedure will cure my liver disease.”

“This procedure will remove fluid from my abdomen.”

“This procedure will help tower my ammonia levels.”

“This procedure will help reduce my risk of infection.”

Answer and Explanation

The Correct Answer is B

A. "This procedure will cure my liver disease.": Paracentesis does not cure cirrhosis; it only helps manage complications.

B. "This procedure will remove fluid from my abdomen.": The primary purpose of paracentesis is to drain ascitic fluid and relieve abdominal distention, discomfort, and respiratory compromise.

C. "This procedure will help lower my ammonia levels.": Ammonia levels are managed through lactulose therapy and dietary modifications, not paracentesis.

D. "This procedure will help reduce my risk of infection.": While paracentesis may be performed to obtain fluid for infection evaluation (spontaneous bacterial peritonitis), it does not inherently reduce infection risk.

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Correct Answer is B

Explanation

A. Weight loss and malnutrition: IBS does not typically cause weight loss or malnutrition. If a client experiences these symptoms, further evaluation is needed to rule out other conditions such as inflammatory bowel disease (IBD) or malignancy.

B. Alteration between constipation and diarrhea: IBS is characterized by a change in bowel habits, which may include alternating episodes of constipation and diarrhea. This is the correct answer.

C. Severe rectal bleeding: IBS does not cause rectal bleeding. If present, conditions such as hemorrhoids, IBD, or colorectal cancer should be considered.

D. Fever and elevated white blood cell count: IBS does not cause systemic inflammation. Fever and leukocytosis are more indicative of infections or inflammatory disorders like ulcerative colitis or Crohn's disease.

A. "You are more likely to get it if living in crowded conditions.” B. “It can be caught while getting a tattoo." C. "Poor handwashing of restaurant workers may lead to its transmission.” D. “The disease is passed person to person through casual contact."

Correct Answer is B

Explanation

A. "You are more likely to get it if living in crowded conditions." Crowded conditions increase the risk of hepatitis A, which spreads via the fecal-oral route, not hepatitis C.

B. "It can be caught while getting a tattoo." Hepatitis C (HCV) is a bloodborne virus transmitted through contaminated needles (tattoos, IV drug use, needle-stick injuries, blood transfusions before 1992).

C. "Poor handwashing of restaurant workers may lead to its transmission." Hepatitis A, not C, is transmitted through contaminated food and poor hygiene. Hepatitis C requires direct blood-to-blood contact.

D. "The disease is passed person to person through casual contact." Hepatitis C is not spread by casual contact, kissing, or sharing food/utensils—it requires blood-to-blood exposure.

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A client with cirrhosis is scheduled for a paracentesis. Which of the following statements indicate that the client understands the purpose of the procedure?

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Naxlex Comprehensive Predictor Exams

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