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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

Absence of respiratory distress

Stable vital signs

Reduced ascitic fluid volume

Decreased abdominal pressure

Improved breathing

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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Correct Answer is ["B","E","F"]

Explanation

Rationale:
A. Family history increases risk for heart disease and arthritis but is not a direct risk factor for peptic ulcer disease.
B. Smoking increases gastric acid secretion, reduces mucosal healing, and significantly raises PUD risk.
C. Alcohol use is denied by the client and therefore is not a contributing factor in this case.
D. Adalimumab use (an immunosuppressant for rheumatoid arthritis/psoriasis) does not directly increase PUD risk.
E. NSAIDs inhibit prostaglandin synthesis, reducing the gastric mucosal barrier and predisposing to ulcer formation.
F. H. pylori infection is a primary cause of peptic ulcers due to its damaging effect on gastric mucosa.

A. "The hypertonic solution will be more rapidly diluted when given through a central line." B. "The required blood glucose monitoring is based on samples obtained from a central line." C. "The prescribed infusion can be given more rapidly when the patient has a central line." D. "There is a decreased risk for infection when 25% dextrose is infused through a central line."

Correct Answer is A

Explanation

Rationale:
A. Hypertonic solutions, like TPN with 25% dextrose, can irritate peripheral veins and cause phlebitis. Administering them through a central line allows rapid dilution in a large volume of blood, reducing vein irritation and promoting safe infusion.
B. Blood glucose monitoring is not dependent on the line type; it is done via peripheral blood samples.
C. The infusion rate is determined by the prescribed therapy, not by whether a central line is used.
D. Central lines do not decrease the risk of infection; in fact, they carry a higher risk of central line–associated bloodstream infections compared with peripheral lines.

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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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a provider's office is caring for a client. Exhibits Select the 3 findings from the client's medical record that increase their risk for peptic ulcer disease (PUD).

Correct Answer is ["B","E","F"]

Explanation

A student asks the nurse why a peripherally inserted central catheter is needed for a patient receiving parenteral nutrition with 25% dextrose. Which response by the nurse is accurate?

Correct Answer is A

Explanation

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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