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.”
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "This condition is correlated to chronic blood loss.” : Chronic inflammation and ulceration in Crohn’s disease can cause occult GI bleeding, leading to iron-deficiency anemia.
B. "Villi within my intestine are damaged.”: Crohn’s disease affects the entire intestinal wall, but it does not damage villi specifically. Villi damage occurs in celiac disease, not Crohn’s disease.
C. "Poor nutrition is a causative factor.": Malabsorption of iron, vitamin B12, and folate due to inflammation contributes to anemia in Crohn’s disease.
D. "The ferrous sulfate prescribed will replace the lost iron.": Iron supplements (ferrous sulfate) are commonly prescribed for anemia in Crohn’s disease due to chronic blood loss.
Correct Answer is A
Explanation
A. Lower left quadrant: Most diverticula occur in the sigmoid colon, causing LLQ pain.
B. Upper left quadrant: The upper left quadrant is not a common location for diverticular disease pain.
C. Upper right quadrant: URQ pain is more associated with gallbladder disease.
D. Lower right quadrant: LRQ pain is more common in appendicitis.
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