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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","D"]

Explanation

Rationale:

A. Probiotics, such as yogurt with live cultures, can promote healthy gut flora and improve bowel regularity.

B. Physical activity stimulates peristalsis, helping prevent constipation, especially in clients who have reduced mobility postoperatively.

C. Low-fiber foods worsen constipation. Clients should consume high-fiber foods such as fruits, vegetables, and whole grains to promote bowel movements.

D. Adequate hydration softens stool and prevents fecal impaction, particularly important for clients taking opioid pain medications.

E. Drinking warm or hot liquids can actually help stimulate bowel movements. There is no need to avoid them.

Correct Answer is B

Explanation

Rationale:
A. Vomiting is more common in small bowel obstruction and is usually less severe in large bowel obstruction.

B. A large bowel obstruction causes accumulation of gas and fecal material proximal to the blockage, leading to significant abdominal distention.

C. Large bowel obstruction may eventually cause metabolic acidosis due to impaired perfusion and tissue hypoxia, not alkalosis.

D. Back pain is not a typical sign of large bowel obstruction; the primary symptom is abdominal discomfort, distention, and constipation.

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