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A nurse is caring for a client in the gastroenterology unit.

Exhibits
Select the key indicators of improvement when evaluating the effectiveness of paracentesis in clients with cirrhosis

A.

Absence of respiratory distress

B.

Stable vital signs

C.

Reduced ascitic fluid volume

D.

Decreased abdominal pressure

E.

Improved breathing

F.

Relief of abdominal discomfort

Answer and Explanation

Correct Answer : D,E,F

Rationale:

  • Improved breathing indicates that the removal of ascitic fluid has relieved diaphragmatic pressure, allowing better lung expansion.
  • Decreased abdominal pressure demonstrates that fluid removal has reduced intra-abdominal tension, improving mobility and comfort.
  • Relief of abdominal discomfort is a primary goal of paracentesis, as it enhances quality of life and reduces pain caused by fluid accumulation.
  • Stable vital signs and absence of respiratory distress are important for monitoring safety but are not direct measures of the procedure’s effectiveness.
  • Reduced ascitic fluid volume is the mechanism of action of paracentesis, while the client’s symptomatic relief is the best indicator of clinical success.


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Related Questions

Correct Answer is ["A","B","C"]

Explanation

Correct Answers:
The nurse should educate the client that diagnostic imaging techniques used for assessing pancreatic ducts include Ultrasound, MRCP, and CT scan.

Rationale:

  • Ultrasound is commonly used as an initial noninvasive imaging tool for detecting pancreatic abnormalities.
  • MRCP (Magnetic Resonance Cholangiopancreatography) is a specialized MRI technique that provides detailed images of the pancreatic and biliary ducts.
  • CT scan provides cross-sectional imaging of the pancreas and can identify masses or ductal obstruction.
  • Biopsy is diagnostic but not considered an imaging technique.
  • HIDA scan assesses gallbladder function, not pancreatic ducts.
  • X-ray is not effective for direct pancreatic duct imaging.

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.

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