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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 C

Explanation

Rationale:
A. An obstruction of the common bile duct causes dark amber or tea-colored urine due to increased bilirubin excretion.

B. The gallbladder and common bile duct are located in the right upper quadrant, so pain is typically felt there.

C. Obstruction of the common bile duct prevents bile from reaching the intestines, impairing fat digestion and absorption, leading to steatorrhea (fatty, foul-smelling stools).

D. Ecchymosis is not a typical sign of common bile duct obstruction. It may indicate coagulation disorders, but it is unrelated to chronic cholecystitis.

Correct Answer is B

Explanation

Rationale:
A. RBC count is not typically affected by acute pancreatitis unless there is bleeding, which is uncommon.

B. Serum amylase is elevated in acute pancreatitis because pancreatic inflammation leads to the release of digestive enzymes into the bloodstream. Amylase levels usually rise within 6–12 hours of symptom onset and remain elevated for 3–5 days.

C. Calcium levels often decrease in acute pancreatitis due to fat saponification, not increase.

D. Magnesium levels are usually normal or decreased, but elevation is not a typical finding in pancreatitis.

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